Whalio Doctors

NPI 1306395538

Serenity Christian Homes

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility West Fargo, ND

Practice location

Address
1111 Prairie Pkwy, West Fargo, ND 58078-3132
Phone
(701) 532-0754

Authorised official

Name
Sean Bennett
Title
Administrator
Phone
(218) 329-4740

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 5801 (ND)

Registry record

NPI
1306395538
Entity type
Organization
NPI issued
29 Sep 2016
Record last updated
29 Sep 2016

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.