| Serenity Recovery Center | |
|
2080 11th Ave E North St Paul MN 55109-5112 | |
| (612) 298-2987 | |
| Not Available |
| Full Name | Serenity Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2080 11th Ave E, North St Paul, Minnesota |
| Authorized Official Name and Position | Fartun Wardere (COUNSELOR) |
| Authorized Official Contact | 6122982987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Recovery Center 2080 11th Ave E North St Paul MN 55109-5112 Ph: (612) 298-2987 | Serenity Recovery Center 2080 11th Ave E North St Paul MN 55109-5112 Ph: (612) 298-2987 |
| NPI Number | 1043933344 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043933344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |