| NPI | 1679978761 |
|---|---|
| Doing Business As | SERENITY CLINIC OF LA |
| Entity Type | Organization |
| Authorized Contact | MARY L TALBERT Credentialling Specialist 337-855-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: LA 2203782149) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-11-06 |