Whalio Doctors

NPI 1114197969

Grace of Serenity Living, INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Peoria, AZ

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
Residential Treatment Facilities Taxonomy 322D00000X Licence BH2333 (AZ)

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.