Organization
SERENE HAVEN BEHAVIORAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OREDUNNI OGUNTODU (OWNER)
(682) 553-8157
Entity
Organization
Contact information
Practice address
4301 WATERFORD GLEN DR, MANSFIELD, TX 76063-9104
(469) 694-8001
(469) 613-4007
Mailing address
4301 WATERFORD GLEN DR, MANSFIELD, TX 76063-9104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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