| Serenity Safe Haven Outpatient Clinic | |
|
8410 Bustleton Ave Ste 2 Philadelphia PA 19152-1924 | |
| (267) 808-8810 | |
| Not Available |
| Full Name | Serenity Safe Haven Outpatient Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8410 Bustleton Ave Ste 2, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tahira S Dockery (CO-FOUNDER) |
| Authorized Official Contact | 2678088810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Safe Haven Outpatient Clinic 93 Old York Rd Ste 1-526 Jenkintown PA 19046-3925 Ph: () - | Serenity Safe Haven Outpatient Clinic 8410 Bustleton Ave Ste 2 Philadelphia PA 19152-1924 Ph: (267) 808-8810 |
| NPI Number | 1942605415 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942605415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SP011319 (Pennsylvania) | Primary |
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