| Cactus Serenity Behavioral Health Services Llc | |
|
3515 W Union Hills Dr Ste 114b Glendale AZ 85308-2431 | |
| (602) 612-3124 | |
| Not Available |
| Full Name | Cactus Serenity Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3515 W Union Hills Dr Ste 114b, Glendale, Arizona |
| Authorized Official Name and Position | Beatrice Eko (CEO) |
| Authorized Official Contact | 4049327197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Serenity Behavioral Health Services Llc 3515 W Union Hills Dr Ste 114b Glendale AZ 85308-2431 Ph: (602) 612-3124 | Cactus Serenity Behavioral Health Services Llc 3515 W Union Hills Dr Ste 114b Glendale AZ 85308-2431 Ph: (602) 612-3124 |
| NPI Number | 1649042375 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 4688015167 |
|---|---|
| Medicare Enrollment ID | O20240515001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649042375 | NPI | - | NPPES |
| Provider Name | Amber N Nassif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518598671 PECOS PAC ID: 1759719925 Enrollment ID: I20200415000308 |
| Provider Name | Annalyn Jalie Rasul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043923139 PECOS PAC ID: 2264807106 Enrollment ID: I20230407000530 |
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