Organization
SERENITY RECUPERATIVE CARE
Active
Other names
SERENITY RECUPERATIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID SAMATAR (PRESIDENT)
(612) 806-4750
Entity
Organization
Contact information
Practice address
360 SHERMAN ST STE 400, SAINT PAUL, MN 55102-2425
(612) 806-4750
Mailing address
360 SHERMAN ST STE 400, SAINT PAUL, MN 55102-2425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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