NPI 1114197969
Grace of Serenity Living, INC
Practice location
- Address
- 8340 N 86th Ln, Peoria, AZ 85345-2553
- Phone
- (602) 441-4690
- Mailing address
- 2720 E Thomas Rd B-200, Phoenix, AZ 85016-8299
Authorised official
- Name
- Tammy R Meade
- Title
- Ceo
- Phone
- (602) 441-4690
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1114197969
- Entity type
- Organization
- NPI issued
- 7 Mar 2008
- Record last updated
- 7 Mar 2008
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.