NPI 1003301680

Serenity Treatment LLC

Organisation Clinical Social Worker Lewiston, ID

Practice location

Address: 1229 Main St STE 101, Lewiston, ID 83501-6901
Phone: (208) 743-5906
Fax: (833) 264-6643

Authorised official

Name: Michelle R Fitting
Title: Supervisor
Phone: (208) 743-5906

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-26273 (ID)

Other Social Worker providers in Idaho →

Registry record

NPI: 1003301680
Entity type: Organization
NPI issued: 26 Jun 2018
Record last updated: 26 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.