| NPI | 1710468665 |
|---|---|
| Doing Business As | JUN-LIZZ SERENITY CARE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LESTER-LEWIS Owner 804-767-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 0732000133) |
| Additional Taxonomies | 251B00000X Case Management (Licence: VA 0732000133) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0711000285) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0732000133) | |
| 251E00000X Home Health (Licence: VA 0732000133) | |
| 175T00000X Peer Specialist (Licence: VA 0735000015) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |