| NPI | 1861693962 |
|---|---|
| Doing Business As | SERENITY SPRINGS SPECIALTY HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | CINDY BROADWAY Business Manager 318-202-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA 686) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 06192) |
| 363L00000X Nurse Practitioner (Licence: LA 04743) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: LA 107598) | |
| 363L00000X Nurse Practitioner (Licence: LA APO5233) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2019-03-07 |