NPIMap

Organization Active NPI

Serenity and Wellness Clinic

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1184294894
Registry record updated Mar 22, 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
2011 Cliftwood Ave
Baltimore, MD 21213-1533
Phone
(443) 640-8231
Fax
(410) 383-9001
NPI assigned
Jun 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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

2011 Cliftwood Ave
Baltimore, MD 21213-1533

Mailing address

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

Other practice location 1

5411 Cedella Ave
Baltimore, MD 21206-4316
Phone (443) 640-8231

Other practice location 2

1133 Pennsylvania Ave Ste 204
Baltimore, MD 21201-2005
Phone (410) 383-9000

Other practice location 3

2441 Keyworth Ave
Baltimore, MD 21215-7647
Phone (443) 640-8231

Electronic endpoints 2

TypeEndpointUseAffiliation
RESTful URL Serenityandwellnessclinic.org Direct
RESTful URL serenityandwellnessclinic.org Health Information Exchange (HIE)

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": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1184294894",
    "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": "2011 CLIFTWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131533",
            "telephone_number": "443-640-8231",
            "fax_number": "410-383-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5411 Cedella Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212064316",
            "country_code": "US",
            "telephone_number": "443-640-8231",
            "fax_number": "410-383-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 Pennsylvania Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212012005",
            "country_code": "US",
            "telephone_number": "410-383-9000",
            "fax_number": "410-383-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2441 Keyworth Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212157647",
            "country_code": "US",
            "telephone_number": "443-640-8231",
            "fax_number": "410-383-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "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": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Serenityandwellnessclinic.org",
            "affiliation": "N",
            "endpointDescription": "IOP, Counseling, Addiction, Substance Use Disorder, Residential Tx",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other  Providers",
            "address_1": "5411 Cedella Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212064316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "serenityandwellnessclinic.org",
            "affiliation": "N",
            "endpointDescription": "Residential  Treatment Program",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ASAM Level 3.3 and 3.5",
            "address_1": "2011 Cliftwood Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212131533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 22, 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.