Organization
SERENITYS PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOTHEL WATSON (DIRECTOR)
(704) 492-0406
Entity
Organization
Contact information
Practice address
3072 DALE EARNHARDT BLVD., KANNAPOLIS, NC 28083-1405
(704) 492-0406
Mailing address
3072 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-1405
(704) 492-0406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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