# KEENE SERENITY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386162634
- **Authorized official:** SAMUEL LAKE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (603) 736-7036

## Contact information

- **Practice address:** 294 WEST ST \# A, KEENE, NH 03431-2400
- **Practice address phone:** (603) 736-7036
- **Mailing address:** 294 WEST ST \# A, KEENE, NH 03431-2400
- **Mailing address phone:** (603) 736-7036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 09/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3114019 | — | NH |