Organization
SERENITY WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINA D SELBY BROUCHET (OFFICER)
(702) 715-4229
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 406-9, PHOENIX, AZ 85015-3210
(602) 692-7293
Mailing address
1718 GAME GARDEN RD, NORTH LAS VEGAS, NV 89031-4506
(702) 715-4229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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