# SERENITY PSYCHIATRIC OUTPATIENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLONIAL HAVEN REHAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083903298
- **Authorized official:** DEBBIE WHITE (ACCOUNTS PAYABLE)
- **Authorized official phone:** (601) 276-3909

## Contact information

- **Practice address:** 616 ARMORY ST, GREENSBORO, AL 36744-2110
- **Practice address phone:** (334) 624-3360
- **Mailing address:** 4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 03/29/2011