Organization
SERENE CONCEPTS PC
Active
Other names
Serene Behavioral Concepts
Organization subpart
No
Provider details
NPI number
Authorized official
MFON MALACHY INYANG MD (CEO)
(248) 506-6867
Entity
Organization
Contact information
Practice address
500 LANIER AVE W STE 801G, FAYETTEVILLE, GA 30214-7642
(302) 455-2002
Mailing address
PO BOX 1149, FAYETTEVILLE, GA 30214-6149
(248) 506-6867
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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