Organization
NEW SERENITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEUSTACE N LEWIS JR. (OWNER)
(706) 616-8031
Entity
Organization
Contact information
Practice address
1321 HWY 41 N, CALHOUN, GA 30701
(706) 383-6342
(706) 383-8754
Mailing address
1321 HWY 41 N, CALHOUN, GA 30701
(706) 383-6342
(706) 383-8754
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
NTP001075
GA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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