Serenity Mental Health Inc. | |
2837 Tandy Turn Eugene OR 97401-5193 | |
(458) 245-6948 | |
Not Available |
Full Name | Serenity Mental Health Inc. |
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Speciality | Clinic/Center |
Location | 2837 Tandy Turn, Eugene, Oregon |
Authorized Official Name and Position | Charles Randall Allen (OWNER) |
Authorized Official Contact | 4582456948 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity Mental Health Inc. 2837 Tandy Turn Eugene OR 97401-5193 Ph: (458) 245-6948 | Serenity Mental Health Inc. 2837 Tandy Turn Eugene OR 97401-5193 Ph: (458) 245-6948 |
NPI Number | 1598524084 |
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Provider Enumeration Date | 03/18/2024 |
Last Update Date | 03/18/2024 |
Certification Date | 03/17/2024 |
Medicare PECOS PAC ID | 1759823958 |
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Medicare Enrollment ID | O20240603003849 |
Identifier | Type | State | Issuer |
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1598524084 | NPI | - | NPPES |
Provider Name | Charles Randall Allen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760802482 PECOS PAC ID: 2668914862 Enrollment ID: I20240603003943 |
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