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Organization
SERENITY PLACE INTERVENTION CENTER, INC
Active
Organization
SERENITY PLACE INTERVENTION CENTER, INC
Active
Other names
Serenity Place Intervention Center, Inc, SPIC MEDICAL EQUIPMENT SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ONUZULIKE SR. (OWNER)
(919) 847-3309
Entity
Organization
Contact information
Practice address
140 MINE LAKE CT STE 100, RALEIGH, NC 27615-6417
(984) 344-7320
(919) 518-8295
Mailing address
140 MINE LAKE CT STE 100, RALEIGH, NC 27615-6417
(919) 847-3309
(919) 518-8295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00398687
—
NC
Enumeration date
02/17/2021
Last updated
03/21/2024
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