Organization
SERENITY PATH INC.
Active
Organization
SERENITY PATH INC.
Active
Other names
Serenity Path Brooten
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MADIGAN M.S., LADC (EXECUTIVE DIRECTOR)
(320) 243-3379
Entity
Organization
Contact information
Practice address
145 CENTRAL AVE S, BOX 324, BROOTEN, MN 56316-4748
(320) 243-3379
Mailing address
117 W JAMES ST, BOX 3, PAYNESVILLE, MN 56362-1216
(320) 243-3379
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1074051-1-CDT
MN
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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