NPI | 1164061776 |
---|---|
Doing Business As | SERENITY TREATMENT CLINIC |
Entity Type | Organization |
Authorized Contact | MARY TALBERT Credentialing Manager 337-855-9023 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
171M00000X Case Manager/Care Coordinator | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-12-30 |
Last Update Date | 2024-04-26 |