Five County Alcohol/Drug Program Serenity Haven

LBN: Five County Alcohol/Drug Program Serenity Haven
Five County Alcohol/Drug Program Serenity Haven is an health care organization with primary practice located at 25212 Us Route 20 , Fayette OH 43521-9511. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Case Management is the primary health care specialty. Five County Alcohol/Drug Program Serenity Haven can be contacted via phone (419) 237-3103, or through Bond, Kenneth via phone (419) 782-9920.

Contact Information

Primary practice address
25212 Us Route 20 Fayette OH 43521-9511
Phone: (419) 237-3103
Fax: (419) 237-4044
Website:
Map and Directions
Authorized official contact:
Name: Bond, Kenneth LICDC
Phone: (419) 782-9920

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 7111 Ohio
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 7111 Ohio
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 7111 Ohio

Profile Details

NPI number 1932166220
LBN Legal business name Five County Alcohol/Drug Program Serenity Haven
DBA Doing business as
Authorized official Bond, Kenneth LICDC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932166220 NPPES
Ohio Other 07111 MACSIS UPI

Popular Providers