Organization
SERENITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKIMBALYNN MONEEK PARKER (HUMAN RESOURCE DIRECTOR)
(757) 851-2256
Entity
Organization
Contact information
Practice address
106 FOX HILL RD, HAMPTON, VA 23669-2309
(757) 851-2256
(757) 851-2254
Mailing address
4313 KAITLYN CT, CHESAPEAKE, VA 23321-1958
(757) 851-2256
(757) 405-3618
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CO-404-08
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972768323
—
VA
Enumeration date
07/25/2008
Last updated
07/25/2008
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