Organization
SERENITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD NKUSI (PRESIDENT)
(469) 455-4874
Entity
Organization
Contact information
Practice address
135 NW LINNEMAN AVE, GRESHAM, OR 97030-6248
(469) 455-4874
Mailing address
135 NW LINNEMAN AVE, GRESHAM, OR 97030-6248
(469) 455-4874
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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