Organization
SERENITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN HOLTZMAN MAPC, LAC (CHIEF EXECUTIVE OFFICER)
(602) 595-3250
Entity
Organization
Contact information
Practice address
2200 W BETHANY HOME RD, STE 7B, PHOENIX, AZ 85015-1997
(602) 595-3250
Mailing address
2200 W BETHANY HOME RD, STE 7B, PHOENIX, AZ 85015-1997
(602) 595-3250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH3112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376395
—
AZ
Enumeration date
11/05/2007
Last updated
04/16/2009
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