Organization
NEW HEIGHTS AMETHYST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE TABARO (ADMINISTRATOR)
(480) 828-0578
Entity
Organization
Contact information
Practice address
3953 W AMETHYST TRL, SAN TAN VALLEY, AZ 85144-3882
(480) 828-0578
Mailing address
3953 W AMETHYST TRL, SAN TAN VALLEY, AZ 85144-3882
(480) 828-0578
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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