SERENITY CIRCLE LLC NPI 1023786803

NPI Information

SERENITY CIRCLE LLC is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SERENITY CIRCLE LLC NPI is 1023786803. The provider is registered as an organization entity type.

The provider's business location address is:

4034 E LELAND ST
MESA, AZ
ZIP 85215-330
Phone: (480) 843-2336

The provider's authorized official is Kimberly Goldey .
The authorized official title is Executive Director and has the following contact phone number (480) 843-2336.

The CLIA number assigned to this NPI record is 03D2246251 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2021 and was last updated on 9/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.