Organization
SERENITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN ELISA WRATCHFORD PMHNP-BC APRN (OWNER)
(860) 449-0200
Entity
Organization
Contact information
Practice address
616 GOLD STAR HWY, GROTON, CT 06340-6221
(860) 449-0200
Mailing address
616 GOLD STAR HWY, GROTON, CT 06340-6221
(860) 449-0200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063598316
INDIVIDUAL NPI
CT
Enumeration date
03/05/2012
Last updated
03/05/2012
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