SERENITY TREATMENT CENTER INC. NPI 1649636747

NPI Information

  • NPI: 1649636747
  • Provider Name: SERENITY TREATMENT CENTER, INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 21D2025794
  • Address: 580 NORTHERN AVE
    SUITE D
    HAGERSTOWN, MD
    ZIP 21742
  • Phone: (301) 732-5328

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NPI Details

SERENITY TREATMENT CENTER, INC. is a rehabilitation and substance use disorder clinic center in Hagerstown, MD. SERENITY TREATMENT CENTER, INC. NPI is 1649636747. The provider is registered as an organization entity type.

The provider's business location address is:

580 NORTHERN AVE
SUITE D
HAGERSTOWN, MD
ZIP 21742-847
Phone: (301) 732-5328

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

The CLIA number assigned to this NPI record is 21D2025794 - other - outpatient treatment fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2016 and was last updated on 1/6/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder905830MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1091900400MEDICAIDMARYLAND

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: 3/30/2025

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