Organization
SERENITY FIELDS
Active
Organization
SERENITY FIELDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON R GHOLSON (OWNER)
(210) 392-9520
Entity
Organization
Contact information
Practice address
5447 HAWK EYE DR, BULVERDE, TX 78163-2255
(210) 392-9520
Mailing address
5447 HAWK EYE DR, BULVERDE, TX 78163-2255
(210) 392-9520
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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