# GRACE OF SERENITY LIVING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114197969
- **Authorized official:** MS. TAMMY R MEADE (CEO)
- **Authorized official phone:** (602) 441-4690

## Contact information

- **Practice address:** 8340 N 86TH LN, PEORIA, AZ 85345-2553
- **Practice address phone:** (602) 441-4690
- **Mailing address:** 2720 E THOMAS RD, B-200, PHOENIX, AZ 85016-8299
- **Mailing address phone:** (602) 441-4690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH2333 | AZ | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 816803 | AHCCS | AZ |