| Serenity Place, Llc | |
|
850 E. Second Street Chase City VA 23924 | |
| (434) 579-2678 | |
| Not Available |
| Full Name | Serenity Place, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 850 E. Second Street, Chase City, Virginia |
| Authorized Official Name and Position | Cheryl M Blow (CEO) |
| Authorized Official Contact | 4345792678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Place, Llc Po Box 281 Chase City VA 23924-0281 Ph: (434) 579-2678 | Serenity Place, Llc 850 E. Second Street Chase City VA 23924 Ph: (434) 579-2678 |
| NPI Number | 1356916431 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356916431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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