Organization
SERENE OASIS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAWRA JULIA COTTONE (PRESIDENT)
(586) 413-1213
Entity
Organization
Contact information
Practice address
1429 E GEORGE AVE, HAZEL PARK, MI 48030-2615
(586) 413-1213
Mailing address
PO BOX 43, HAZEL PARK, MI 48030-0043
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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