Serenity Wellness, LLC

NPI #1497397723 in Caldwell, Idaho

Provider Information

NPI Number: 1497397723
Entity Type: Organization
Organization Name: Serenity Wellness, LLC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Oct 8, 2019
Last Updated: Oct 8, 2019

Practice Location

Address: 524 CLEVELAND BLVD STE 230
City: Caldwell
State: Idaho
ZIP Code: 83605-4076
Phone: (208) 800-0588

Authorized Official

Name: AARON ELIAS ST.GEORGE, B.S., ICADC
Title: EXECUTIVE DIRECTOR
Phone: (208) 800-0588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Case Management	251B00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Substance Abuse Rehabilitation Facility	324500000X
Community/Behavioral Health	251S00000X	Primary

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