Organization
SERENITY PREFERRED LLC
Active
Other names
SERENITY PREFERRED LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOLA A ADARALEGBE (PROGRAM DIRECTOR)
(623) 523-2297
Entity
Organization
Contact information
Practice address
23004 W HOPI ST, BUCKEYE, AZ 85326-8615
(623) 523-2297
Mailing address
23004 W HOPI ST, BUCKEYE, AZ 85326-8615
(623) 523-2297
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH7928
AZDHS
AZ
Enumeration date
10/14/2022
Last updated
10/14/2022
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