Organization
SERENITY LANE
Active
Organization
SERENITY LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CARLIN (CHIEF FINANCIAL OFFICER)
(541) 284-8617
Entity
Organization
Contact information
Practice address
1 SERENITY LANE, COBURG, OR 97408
(541) 284-8605
(541) 687-9041
Mailing address
PO BOX 8549, COBURG, OR 97408-1313
(541) 284-8605
(541) 687-9041
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/17/2026
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