NPI | 1770372518 |
---|---|
Former Legal Business Name | SERENE SURROUNDINGS BEHAVIORAL HOME |
Entity Type | Organization |
Authorized Contact | GLORY MEZOH SALIZZONI Owner 623-298-7721 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-05-06 |
Last Update Date | 2025-05-06 |