Healthcare Provider Details

I. General information

NPI: 1538482625
Provider Name (Legal Business Name): ART OF SERENITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 JEFFERSON ST
DELANO CA
93215-2203
US

IV. Provider business mailing address

3218 LAUREL DR
BAKERSFIELD CA
93304-6029
US

V. Phone/Fax

Practice location:
  • Phone: 661-302-1463
  • Fax:
Mailing address:
  • Phone: 661-302-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSANDA JENAY ANDERSON
Title or Position: DEVELOPMENT DIRECTOR
Credential:
Phone: 661-302-1463