Organization
GRACE OF SERENITY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY RACHELLE MEADE (CEO)
(602) 441-4690
Entity
Organization
Contact information
Practice address
2720 E THOMAS RD STE 200B, PHOENIX, AZ 85016-8242
(601) 441-4690
(602) 441-4694
Mailing address
2720 E THOMAS RD. B200, PHONIEX, AZ 85016
(602) 441-4690
(602) 441-4694
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3538
AZ
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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