SERENITY LANE NPI 1104934892

NPI Information

SERENITY LANE is a substance abuse rehabilitation facility in Coburg, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SERENITY LANE NPI is 1104934892. The provider is registered as an organization entity type.

The provider's business location address is:

1 SERENITY LANE
COBURG, OR
ZIP 97408
Phone: (541) 284-8605
Fax: (541) 687-9041

The provider's authorized official is Brian Carlin .
The authorized official title is Chief Financial Officer and has the following contact phone number (541) 284-8617.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 4/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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