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Organization

SERENITYS PLACE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REIGN LOTHEL WATSON (PRESIDENT)
(704) 490-5511
Entity
Organization

Contact information

Practice address
108 N MAIN STREET, GROVER, NC 28073
(704) 856-9467
(980) 276-1795
Mailing address
468 EDDLEMAN RD, KANNAPOLIS, NC 28083-6117
(704) 490-5511

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
323P00000X
Psychiatric Residential Treatment Facility

Other

Enumeration date
11/09/2023
Last updated
12/08/2025
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