NPIMap

Organization Active NPI

Serenity and Wellness Clinic

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1730875899
Registry record updated Apr 12, 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
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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

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": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1730875899",
    "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": [],
    "basic": {
        "organization_name": "SERENITY AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "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 12, 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.