| NPI | 1245574516 |
|---|---|
| Doing Business As | SERENITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRINA L GREENWALD Owner/Practitioner 765-664-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71002182A) |
| 364S00000X Clinical Nurse Specialist (Licence: IN 28084011A) | |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2014-11-24 |