NPI | 1174122766 |
---|---|
Doing Business As | SERENITY HOUSE TREATMENT FACILITY |
Entity Type | Organization |
Authorized Contact | RICHARD LANE DAVIS CEO 907-714-4723 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |