Organization
SERENITY AVE. INTEGRATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA JORDAN PMHNP (CEO)
(248) 422-1333
Entity
Organization
Contact information
Practice address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(248) 422-1333
Mailing address
29494 ASHLAND AVE APT 301, HARRISON TOWNSHIP, MI 48045-5742
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/31/2020
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