Organization
SERENITY LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CARLIN (CHIEF FINANCIAL OFFICER)
(541) 284-8617
Entity
Organization
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
(541) 485-8484
Mailing address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
(541) 485-8484
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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