Serenity Treatment LLC

NPI #1003301680 in Lewiston, Idaho

Provider Information

NPI Number: 1003301680
Entity Type: Organization
Organization Name: Serenity Treatment LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 26, 2018
Last Updated: Jun 26, 2018

Practice Location

Address: 1229 MAIN ST STE 101
City: Lewiston
State: Idaho
ZIP Code: 83501-6901
Phone: (208) 743-5906

Authorized Official

Name: MICHELLE R FITTING, LMSW
Title: SUPERVISOR
Phone: (208) 743-5906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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