NPI 1467283069
Serenity Lane
Practice location
- Address
- 1 Serenity Ln, Coburg, OR 97408-9350
- Phone
- (541) 687-1110
- Fax
- (541) 485-8484
Authorised official
- Name
- Brian Carlin
- Title
- Chief Financial Officer
- Phone
- (541) 284-8617
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1467283069
- Entity type
- Organization
- NPI issued
- 13 Aug 2024
- Record last updated
- 13 Aug 2024
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.