Cactus Serenity Behavioral Health Services LLC
Clinic/Center, Multi-Specialty in Glendale, AZ. Organization (NPI-2).
NPI number1093500670
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1093500670
- Entity type
- Organization (NPI-2)
- Legal business name
- Cactus Serenity Behavioral Health Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2025
- Certification date
- Apr 13, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
3515 W Union Hills DrGlendale, AZ 85308-2429
Phone 602-612-3124
Mailing address
3515 W Union Hills Dr Ste 114bGlendale, AZ 85308-2431
Phone 602-612-3124
Authorized official
Beatrice Eko
Administrator
6026123124
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