Serenity Lodge, INC
NPI #1144790379 in Lake Arrowhead, California
Provider Information
- NPI Number
- 1144790379
- Entity Type
- Organization
- Organization Name
- Serenity Lodge, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SERENITY LODGE, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Nov 30, 2018
- Last Updated
- Nov 30, 2018
Practice Location
- Address
- 977 MEADOW BROOK RD
- City
- Lake Arrowhead
- State
- California
- ZIP Code
- 92352-9235
- Phone
- (909) 693-5127
Authorized Official
- Name
- MATTHEW JOSEPH BALDO
- Title
- COMPLIANCE MANAGER
- Phone
- (909) 693-5127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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