Organization
CACTUS SERENITY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE EKO (CEO)
(404) 932-7197
Entity
Organization
Contact information
Practice address
3515 W UNION HILLS DR STE 114B, GLENDALE, AZ 85308-2431
(602) 612-3124
Mailing address
3515 W UNION HILLS DR STE 114B, GLENDALE, AZ 85308-2431
(602) 612-3124
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/25/2023
Last updated
11/01/2024
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