Provider Demographics
NPI:1992425375
Name:SERENITY SPRINGS
Entity type:Organization
Organization Name:SERENITY SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RUGABIRWA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUHORIMBERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-423-0569
Mailing Address - Street 1:2840 W LAMAR RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-1263
Mailing Address - Country:US
Mailing Address - Phone:602-423-0569
Mailing Address - Fax:
Practice Address - Street 1:3100 E PALO VERDE ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-9423
Practice Address - Country:US
Practice Address - Phone:602-423-0569
Practice Address - Fax:480-636-8190
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARRING DEVOTION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness