Organization
SERENITY RESIDENTIAL & COMMUNITY SUPPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA N SMITH (OWNER)
(866) 785-7095
Entity
Organization
Contact information
Practice address
108 WALL ST, CLINTON, NC 28328-4045
(866) 785-7095
(833) 806-6743
Mailing address
PO BOX 277, WARSAW, NC 28398-0277
(252) 470-7058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2025
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