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Organization
KEENE SERENITY CENTER INC
Active
Organization
KEENE SERENITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LAKE (EXECUTIVE DIRECTOR)
(603) 736-7036
Entity
Organization
Contact information
Practice address
294 WEST ST # A, KEENE, NH 03431-2400
(603) 736-7036
Mailing address
294 WEST ST # A, KEENE, NH 03431-2400
(603) 736-7036
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114019
—
NH
Enumeration date
09/07/2017
Last updated
09/23/2026
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