Organization · Type 2 NPI
White Lake Serenity Center, PLLC
Adult Mental Health Clinic/Center · Montague, MI
NPI number
1700363777
Active
Practice location
8435 Old Channel Trl
Montague, MI 49437-1360
Mailing address
14926 Minetta Ave
Spring Lake, MI 49456-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1700363777
White Lake Serenity Center, PLLC's National Provider Identifier is 1700363777, issued on Jul 23, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Montague, MI. The record was last updated on Jul 23, 2018.