| Serene Life Community Services Llc | |
|
13209 Fairwood Rd South Prince George VA 23805-7817 | |
| (804) 931-2005 | |
| Not Available |
| Full Name | Serene Life Community Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 13209 Fairwood Rd, South Prince George, Virginia |
| Authorized Official Name and Position | Lisa Friend (OWNER) |
| Authorized Official Contact | 8049312005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Life Community Services Llc 13209 Fairwood Rd South Prince George VA 23805-7817 Ph: (804) 931-2005 | Serene Life Community Services Llc 13209 Fairwood Rd South Prince George VA 23805-7817 Ph: (804) 931-2005 |
| NPI Number | 1487347407 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487347407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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