Organization · NPI-2

Mjw Ventures

Psychiatric Residential Treatment Facility · Mesa, AZ

NPI number1508576240
StatusActive
Last updated in NPPESDec 5, 2022

Details

NPI
1508576240
Entity type
Organization (NPI-2)
Legal business name
Mjw Ventures
Organization subpart
No
Enumeration date
Dec 5, 2022
Certification date
Dec 4, 2022
Last updated
Dec 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility––Yes
324500000X Substance Abuse Rehabilitation Facility––

Other names

  • Serenity Residential Services (Doing Business As)

Practice location

9930 E Tungsten Dr
Mesa, AZ 85212-8488

Phone 925-804-1154

Mailing address

9930 E Tungsten Dr
Mesa, AZ 85212-8488

Phone 925-804-1154

Authorized official

Jameka Hargrove
Ceo
9258041154

Is something wrong?

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