Organization
SERENITY IOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITA HALE BSN (OWNER)
(859) 588-0015
Entity
Organization
Contact information
Practice address
18 CLINIC DR, PARIS, KY 40361-2161
(859) 585-0015
Mailing address
18 CLINIC DR, PARIS, KY 40361-2161
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1075442
KY
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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