Organization
SERENITY VALLEY FAMILY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN CECILIA GRIFFIN (OWNER)
(313) 828-0024
Entity
Organization
Contact information
Practice address
215 PHILIP ST, DETROIT, MI 48215-3141
(313) 828-0024
Mailing address
215 PHILIP ST, DETROIT, MI 48215-3141
(313) 828-0024
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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