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Organization
SERENITY FOR LIFE
Active
Organization
SERENITY FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN F COREY (DUEL OWNER)
(626) 755-0003
Entity
Organization
Contact information
Practice address
65 PINE AVE, 360, LONG BEACH, CA 90802
(626) 755-0003
Mailing address
65 PINE AVE, 360, LONG BEACH, CA 90802-4718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190821AP
CA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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