# SERENITYS PLACE, INC

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

## Provider details

- **NPI number:** 1699549600
- **Authorized official:** REIGN LOTHEL WATSON (PRESIDENT)
- **Authorized official phone:** (704) 490-5511

## Contact information

- **Practice address:** 108 N MAIN STREET, GROVER, NC 28073
- **Practice address phone:** (704) 856-9467
- **Practice address fax:** (980) 276-1795
- **Mailing address:** 468 EDDLEMAN RD, KANNAPOLIS, NC 28083-6117
- **Mailing address phone:** (704) 490-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | — |

## Other

- **Enumeration date:** 11/09/2023
- **Last updated:** 12/08/2025