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General NPI Number Information
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NPI Number | 1831337534
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Entity Type | Organization
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Legal Business Name | SERENITY KNOLLS
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 145 TAMAL ROAD
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City | FOREST KNOLLS
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State | CA
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Zip | 94933
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Country | US
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Telephone | 415-488-0400
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Fax | 415-488-1955
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Provider Business Mailing Address
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Address Line | 4020 ASPEN GROVE DR STE 900
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City | FRANKLIN
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State | TN
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Zip | 37067-3134
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & SECRETARY
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Name | BRIAN FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 210011AP
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License Number State | CA
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