| Serenity Behavioral Health Llc | |
|
3470 Washington Dr Ste 206 Eagan MN 55122-1354 | |
| (651) 505-9911 | |
| Not Available |
| Full Name | Serenity Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3470 Washington Dr Ste 206, Eagan, Minnesota |
| Authorized Official Name and Position | Shukri Bashir (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6515059911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Behavioral Health Llc 3470 Washington Dr Ste 206 Eagan MN 55122-1354 Ph: (651) 505-9911 | Serenity Behavioral Health Llc 3470 Washington Dr Ste 206 Eagan MN 55122-1354 Ph: (651) 505-9911 |
| NPI Number | 1356196687 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356196687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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