Organization
SERENITY WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON ELIAS ST.GEORGE B.S., ICADC (EXECUTIVE DIRECTOR)
(208) 800-0588
Entity
Organization
Contact information
Practice address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4076
(208) 800-0588
(208) 800-0599
Mailing address
524 CLEVELAND BLVD STE 230, CALDWELL, ID 83605-4076
(208) 800-0588
(208) 800-0599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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