Serenity Lodge, INC
NPI #1184914590 in Lake Arrowhead, California
Provider Information
- NPI Number
- 1184914590
- Entity Type
- Organization
- Organization Name
- Serenity Lodge, INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 19, 2011
- Last Updated
- May 7, 2018
Practice Location
- Address
- 985 MEADOW BROOK RD
- City
- Lake Arrowhead
- State
- California
- ZIP Code
- 92352
- 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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