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Organization

SERENITY HOME OF MARICOPA .LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VIVIAN WRIGHT (EXECUTIVE DIRECTOR)
(520) 431-7587
Entity
Organization

Contact information

Practice address
43350 W ELIZABETH AVE, MARICOPA, AZ 85138-5716
(520) 431-7587
Mailing address
41282 W CAPISTRANO DR, MARICOPA, AZ 85138-4591
(520) 431-7587

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH4439
AZ

Other

Enumeration date
07/16/2014
Last updated
07/16/2014
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