Organization
SERENITY C & C INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIETTA COTTINGHAM (PROGRAM DIRECTOR)
(757) 896-1006
Entity
Organization
Contact information
Practice address
100 GLICA CT, HAMPTON, VA 23666-5699
(757) 896-1006
Mailing address
100 GLICA CT, HAMPTON, VA 23666-5699
(757) 896-1006
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1081
VA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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