NPI | 1538631478 |
---|---|
Doing Business As | SERENITY HOUSE MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | RICHARD LANE DAVIS CEO 907-714-4723 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-12-17 |
Last Update Date | 2020-12-07 |