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Organization
SERENITY PLACE INTERVENTION CENTER, INC
Active
Organization
SERENITY PLACE INTERVENTION CENTER, INC
Active
Other names
SPIC MEDICAL EQUIPMENT SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER ONUZULIKE (PRESIDENT/CEO)
(919) 395-5262
Entity
Organization
Contact information
Practice address
140 MINE LAKE CT STE 100, RALEIGH, NC 27615-6417
(919) 847-3309
(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
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
374700000X
Technician
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/31/2024
Last updated
11/01/2024
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