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SERENITY TREATMENT CENTER INC. NPI 1578084463


NPI Information

NPI: 1578084463
Provider Name: SERENITY TREATMENT CENTER, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
101 TANDY DR
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 898-2627
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SERENITY TREATMENT CENTER, INC. is a rehabilitation and substance use disorder clinic center in Hagerstown, MD. SERENITY TREATMENT CENTER, INC. NPI is 1578084463. The provider is registered as an organization entity type.

The provider's business location address is:

101 TANDY DR
HAGERSTOWN, MD
ZIP 21740-180
Phone: (301) 898-2627
Fax: (301) 898-2640

The provider's authorized official is Christine Renee Marquardt .
The authorized official title is Vice President and has the following contact phone number (301) 898-2627.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 6/29/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1091900401MEDICAIDMARSHALL ISLANDS
2091900400MEDICAIDMARYLAND
3091900401MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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