NPIMap

Organization Active NPI

Serenity and Wellness Clinic

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1134814031
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SERENITY AND WELLNESS CLINIC
Practice address
2441 Keyworth Ave
Baltimore, MD 21215-7647
Phone
(443) 640-8231
Fax
(410) 383-9001
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juliet Adebisi Adetunji
Title
Executive Director
Phone
(410) 383-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2441 Keyworth Ave
Baltimore, MD 21215-7647

Mailing address

PO Box 1992
Baltimore, MD 21203-1992
Phone (443) 640-8231

National Provider Directory

National Provider Directory
Tax ID family
Serenity and Wellness Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1134814031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1992",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212031992",
            "telephone_number": "443-640-8231",
            "fax_number": "410-383-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 KEYWORTH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157647",
            "telephone_number": "443-640-8231",
            "fax_number": "410-383-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "ADETUNJI",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "ADEBISI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-383-9000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.