Organization
SERENITY TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE B DUFFORD LCSW (OWNER/CLINICIAL)
(208) 305-8237
Entity
Organization
Contact information
Practice address
1034 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-5906
(833) 264-6643
Mailing address
1034 MAIN ST, LEWISTON, ID 83501-1842
(208) 743-5906
(833) 264-6643
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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