Organization
SERENE LIFE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FRIEND (OWNER)
(804) 931-2005
Entity
Organization
Contact information
Practice address
13209 FAIRWOOD RD, SOUTH PRINCE GEORGE, VA 23805-7817
(804) 931-2005
Mailing address
13209 FAIRWOOD RD, SOUTH PRINCE GEORGE, VA 23805-7817
(804) 931-2005
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
09/25/2023
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