# SERENITY INFANT CARE HOMES

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

## Provider details

- **NPI number:** 1669502142
- **Authorized official:** MRS. JENNIFER CHOCTOW MFT (HEAD OF SERVICES)
- **Authorized official phone:** (626) 859-6200

## Contact information

- **Practice address:** 600 S GRAND AVE, COVINA, CA 91724-3638
- **Practice address phone:** (626) 859-6200
- **Practice address fax:** (626) 938-0397
- **Mailing address:** 600 S GRAND AVE, COVINA, CA 91724-3638
- **Mailing address phone:** (626) 859-6200
- **Mailing address fax:** (626) 938-0397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 12/16/2008