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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