Serenity Palms an Irecover Treatment Centers Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

330113AP Issued in CA

Legal business name

SERENITY PALMS AN IRECOVER TREATMENT CENTERS INC.

Practice address

37066 Bankside Dr
Cathedral City, CA 92234-7815

Phone

(866) 761-6007

NPI assigned

Feb 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mitchell D Gray

Title

Ceo

Phone

(866) 761-6007

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1780008243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37066 BANKSIDE DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347815",
            "telephone_number": "866-761-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37066 BANKSIDE DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347815",
            "telephone_number": "866-761-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALMS AN IRECOVER TREATMENT CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-761-6007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "330113AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Sarrouf, D.O.
• Matthew Schiffino
• Namrata Kaur Sekhon, M.D.
• Dumitru Serban
• Serenity Congregate Care
• Jesus Servin
• Hala Z. Shakir
• Sameh Saleem Shenoodah
• William H Shibata, DDS
• Silver Springs, Inc.

• Substance Abuse Rehabilitation Facility in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.