Whalio Doctors

NPI 1023786803

Serenity Circle LLC

Organisation Substance Abuse Rehabilitation Facility Mesa, AZ

Practice location

Address
4034 E Leland St, Mesa, AZ 85215-2330
Phone
(480) 843-2336
Mailing address
PO Box 2574, Mesa, AZ 85214-2574

Authorised official

Name
Kimberly Goldey
Title
Executive Director
Phone
(480) 843-2336

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X
Assisted Living Facility (Mental Illness)
Nursing & Custodial Care Facilities Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances)
Nursing & Custodial Care Facilities Taxonomy 3104A0630X
Psychiatric Residential Treatment Facility
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1023786803
Entity type
Organization
NPI issued
5 Sep 2021
Record last updated
5 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.