Provider Demographics
NPI:1225928914
Name:SERENITY STABLES FOUNDATION; A FENCE OF RECOVERY
Entity type:Organization
Organization Name:SERENITY STABLES FOUNDATION; A FENCE OF RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MRASAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-731-9015
Mailing Address - Street 1:46751 COUNTY ROAD 17
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-9616
Mailing Address - Country:US
Mailing Address - Phone:605-731-9015
Mailing Address - Fax:
Practice Address - Street 1:46751 COUNTY ROAD 17
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-9616
Practice Address - Country:US
Practice Address - Phone:605-731-9015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty