Organization · Type 2 NPI
Serenity Lodge, Inc
Substance Abuse Rehabilitation Facility · Lake Arrowhead, CA
NPI number
1043780109
Active
Practice location
986 Meadow Brook Road
Lake Arrowhead, CA 92352-9235
Mailing address
PO Box 2895
Lake Arrowhead, CA 92352-2895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1043780109
Serenity Lodge, Inc's National Provider Identifier is 1043780109, issued on Dec 3, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lake Arrowhead, CA. The record was last updated on Dec 3, 2018.