NPI 1093408171
Jv Serenity Mass LLC
Practice location
- Address
- 61 Brown St, Haverhill, MA 01830-6750
- Phone
- (855) 219-1877
- Fax
- (954) 337-6238
- Mailing address
- PO Box 31296, Tampa, FL 33631-3296
Authorised official
- Name
- Deja Gilbert
- Title
- Ceo
- Phone
- (855) 219-1877
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1093408171
- Entity type
- Organization
- NPI issued
- 2 Jun 2023
- Record last updated
- 13 Sep 2023
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.