National Provider Identifier Database

EOS SERENITY LODGE
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

EOS SERENITY LODGE
1445 E 5600 S
SOUTH OGDEN, UT84403-4537
Phone: 801-513-7174
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for EOS SERENITY LODGE

NPI Number 1467263004
Legal business name
LBN
EOS SERENITY LODGE
Authorized official HILARY ROWBERRY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/14/2025
Last updated 02/09/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for EOS SERENITY LODGE

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