Provider Demographics
NPI:1619837986
Name:SERENITY PREFERRED LLC
Entity type:Organization
Organization Name:SERENITY PREFERRED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADEBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADARALEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:623-523-2297
Mailing Address - Street 1:18423 W PALO VERDE AVE
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-4331
Mailing Address - Country:US
Mailing Address - Phone:623-523-2297
Mailing Address - Fax:623-321-1116
Practice Address - Street 1:12825 W LISBON LN
Practice Address - Street 2:
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335-3420
Practice Address - Country:US
Practice Address - Phone:623-523-2297
Practice Address - Fax:623-321-1116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness