| Serenity Recovery Clinic, Llc | |
|
6510 W Layton Ave Suite 5 Greenfield WI 53220-4573 | |
| (414) 763-7751 | |
| (414) 763-7755 |
| Full Name | Serenity Recovery Clinic, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6510 W Layton Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | John K Luznicky (PROGRAM DIRECTOR/COUNSELOR) |
| Authorized Official Contact | 4147637751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Recovery Clinic, Llc 6510 W Layton Ave Suite 5 Greenfield WI 53220-4573 Ph: (414) 763-7751 | Serenity Recovery Clinic, Llc 6510 W Layton Ave Suite 5 Greenfield WI 53220-4573 Ph: (414) 763-7751 |
| NPI Number | 1679951057 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 05/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679951057 | NPI | - | NPPES |
| 1609814367 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3091 (Wisconsin) | Primary |
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