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Organization
SERENITY SUPPORT HOUSE LLC
Active
Organization
SERENITY SUPPORT HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHATARIA BRIDGES-MOSS (ADMINISTRATOR)
(518) 300-3693
Entity
Organization
Contact information
Practice address
20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
(518) 300-3693
Mailing address
20101 NW 34TH CT, MIAMI GARDENS, FL 33056-1768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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