Serenity Park Treatment Center

Key facts

NPI

1912465295

Entity type

Organization (NPI type 2)

Primary specialty

Substance Abuse Rehabilitation Facility 324500000X

Legal business name

SERENITY PARK TREATMENT CENTER

Practice address

2801 W Roosevelt Rd
Little Rock, AR 72204-5655

Phone

(501) 313-0066

Fax

(501) 313-2044

NPI assigned

Mar 6, 2019

Organization subpart

No

Authorized official

Name

Tierney James

Title

Business Manager

Phone

(501) 313-0066

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Serenity Park Recovery Clinic Substance Use Disorder Rehabilitation Clinic/Center · Little Rock, AR · NPI 1407407570
  NPPES parent name

National Provider Directory

Specialties & licenses

Addresses

Other names

• Serenity Park Recovery Center Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2019.

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1912465295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W ROOSEVELT RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722045655",
            "telephone_number": "501-313-0066",
            "fax_number": "501-313-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W ROOSEVELT RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722045655",
            "telephone_number": "501-313-0066",
            "fax_number": "501-313-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PARK TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "TIERNEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "501-313-0066"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Park Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Serenity Park Recovery Clinic
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• Macie Ann Serio, MD
• Anna K Serpente
• Gregg Serrano
• Maria Angelica Serrano, MD

All providers in Little Rock, AR · Substance Abuse Rehabilitation Facility in Arkansas