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Organization

SERENITY HOUSE, INC

Active
Other names
Serenity Park
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY A GAINES ICADC (EXECUTIVE DIRECTOR)
(501) 663-7627
Entity
Organization

Contact information

Practice address
2801 W ROOSEVELT RD, LITTLE ROCK, AR 72204-5655
(501) 663-7627
(501) 663-2859
Mailing address
2801 W ROOSEVELT RD, LITTLE ROCK, AR 72204-5655
(501) 663-7627
(501) 663-2859

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D546312
ARKANSAS DIVISION OF BEHAVIORAL HEALTH- OADAP
AR
Enumeration date
06/25/2009
Last updated
06/25/2009
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