Organization
SERENE LIVING SPACES LLC
Active
Organization
SERENE LIVING SPACES LLC
Active
Other names
Serene Living Spaces Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SAKUWAHA (SOLE PROPRIETOR)
(480) 766-8114
Entity
Organization
Contact information
Practice address
1039 E LOYOLA DR, TEMPE, AZ 85282-3812
(480) 766-8114
Mailing address
1039 E LOYOLA DR, TEMPE, AZ 85282-3812
(480) 766-8114
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
05/20/2020
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