Organization
SERENITY PATH INC.
Active
Organization
SERENITY PATH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MADIGAN MS, LADC, BCCR (EXECUTIVE DIRECTOR)
(320) 243-3379
Entity
Organization
Contact information
Practice address
117 W JAMES ST, BOX 3, PAYNESVILLE, MN 56362-1216
(320) 243-3379
Mailing address
117 W JAMES ST, BOX 3, PAYNESVILLE, MN 56362-1216
(320) 243-3379
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1058815-1-CDT
MN
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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