Organization
SERENITY RESIDENTIAL TREATMENT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SITATE TESFAYE GELGELU (DIRECTOR)
(541) 860-8570
Entity
Organization
Contact information
Practice address
4629 WARD DR NE # S, SALEM, OR 97305-3161
(541) 860-8570
Mailing address
4629 WARD DR NE # S, SALEM, OR 97305-3161
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
12/14/2025
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