Organization
SERENITY THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAFIA A JAMA (MANAGING OWNER)
(763) 732-2594
Entity
Organization
Contact information
Practice address
1129 MAPLE ST, EAGAN, MN 55121-4402
(763) 732-2594
Mailing address
1129 MAPLE ST, EAGAN, MN 55121-4402
(763) 732-2594
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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