| NPI | 1396562112 |
|---|---|
| Doing Business As | SERENITY SAFE-HAVEN OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | TANYA SUE BLAND CEO 267-944-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |