Organization
YOUR SERENITY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LAGUARINA JR. (CEO)
(856) 230-6251
Entity
Organization
Contact information
Practice address
371 GLASSBORO RD STE 1, WOODBURY HEIGHTS, NJ 08097-1026
(856) 669-6900
Mailing address
371 GLASSBORO RD, WOODBURY HEIGHTS, NJ 08097-1026
(856) 669-6900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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