Organization
SERENE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR MEDINA (CEO)
(619) 259-6999
Entity
Organization
Contact information
Practice address
1626 N LITCHFIELD RD STE 260, GOODYEAR, AZ 85395-1396
(844) 737-3638
Mailing address
4849 RONSON CT STE 207, SAN DIEGO, CA 92111-1805
(844) 737-3638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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