Organization
SERENITY CIRCLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOLDEY (EXECUTIVE DIRECTOR)
(480) 843-2336
Entity
Organization
Contact information
Practice address
4034 E LELAND ST, MESA, AZ 85215-2330
(480) 843-2336
Mailing address
PO BOX 2574, MESA, AZ 85214-2574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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