Organization
SERENITYBEHAVIORALHEALTH.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR NKEM (OWNER)
(520) 302-6217
Entity
Organization
Contact information
Practice address
15202 N FLAMENCO DR, PHOENIX, AZ 85053-4872
(520) 302-6217
(602) 907-4562
Mailing address
15202 N FLAMENCO DR, PHOENIX, AZ 85053-4872
(520) 302-6217
(602) 907-4562
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/23/2019
Last updated
01/08/2021
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