Organization
SERENITY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIRA DOCKERY CRNP (OWNER)
(267) 291-4513
Entity
Organization
Contact information
Practice address
8410 BUSTLETON AVE STE 2, PHILADELPHIA, PA 19152-1924
(267) 361-8308
(215) 701-5888
Mailing address
93 OLD YORK RD # 1-526, JENKINTOWN, PA 19046-3925
(267) 361-8308
(215) 701-5888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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