| NPI | 1457042384 |
|---|---|
| Doing Business As | SERENE CARE TELEPSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | FAITH PETTYJOHN Owner 267-275-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-11-28 |