| Cedar Serenity Llc | |
|
8120 Penn Ave S Ste 500u Bloomington MN 55431-1367 | |
| (952) 245-0369 | |
| Not Available |
| Full Name | Cedar Serenity Llc |
|---|---|
| Speciality | Counselor |
| Location | 8120 Penn Ave S Ste 500u, Bloomington, Minnesota |
| Authorized Official Name and Position | Roy Haddad (FOUNDER) |
| Authorized Official Contact | 9527372420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Serenity Llc 8120 Penn Ave. S, Suite 500u Bloomingtoon MN 55431-4525 Ph: (952) 245-0369 | Cedar Serenity Llc 8120 Penn Ave S Ste 500u Bloomington MN 55431-1367 Ph: (952) 245-0369 |
| NPI Number | 1669169314 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669169314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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