Organization
SERENE HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR MEDINA (PRESIDENT)
(619) 455-1236
Entity
Organization
Contact information
Practice address
9265 SKY PARK CT STE 100, SAN DIEGO, CA 92123-4375
(619) 455-1236
Mailing address
9265 SKY PARK CT STE 100, SAN DIEGO, CA 92123-4375
(619) 455-1236
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
07/15/2024
Last updated
12/17/2024
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