| NPI | 1326484684 |
|---|---|
| Doing Business As | SERENITY SAFE HAVEN OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAHIRA DOCKERY CEO 267-291-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: PA 142980) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2018-03-17 |