NPI | 1720847262 |
---|---|
Former Legal Business Name | SERENITY SPRINGS GROUP HOME |
Entity Type | Organization |
Authorized Contact | ALEESE WILLIS Director 513-488-6405 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-03-18 |