Organization
SERENITY SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SACAD M GULED (OWNER)
(612) 810-6216
Entity
Organization
Contact information
Practice address
2817 ANTHONY LN S STE 203, ST ANTHONY, MN 55418-2491
(612) 810-6216
Mailing address
2817 ANTHONY LN S STE 203, ST ANTHONY, MN 55418-2491
(612) 810-6216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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