NPI | 1831724699 |
---|---|
Doing Business As | SERENE LIVING SPACES BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JOHN SAKUWAHA Sole Proprietor 480-766-8114 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2020-03-11 |
Last Update Date | 2020-05-20 |