Organization
SERENITY LLC
Active
Other names
Serenity Lodge Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DINO CAMPITELLI (CEO)
(570) 222-3449
Entity
Organization
Contact information
Practice address
21 WEIDA CT, NICHOLSON, PA 18446-7516
(570) 222-3449
Mailing address
21 WEIDA CT, NICHOLSON, PA 18446-7516
(570) 222-3449
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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