Aag Serenity Servives, LLC
Community/Behavioral Health in Surprise, AZ. Organization (NPI-2).
NPI number1699094904
StatusActive
Last updated in NPPESJul 24, 2013
Details
- NPI
- 1699094904
- Entity type
- Organization (NPI-2)
- Legal business name
- Aag Serenity Servives, LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2010
- Last updated
- Jul 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | N-15914236 | AZ | Yes |
Practice location
14708 W Lupine LnSurprise, AZ 85374-9688
Phone 623-203-0696
Mailing address
14708 W Lupine LnSurprise, AZ 85374-9688
Phone 623-203-0696
Authorized official
Alison A Gamez
Owner, Manager, Clinical Director,
6232030696
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