Healthcare Provider Details

I. General information

NPI: 1700210903
Provider Name (Legal Business Name): SERENE TREATMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2013
Last Update Date: 08/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 OLD OKEECHOBEE RD 402#
WEST PALM BCH FL
33409-5253
US

IV. Provider business mailing address

1860 OLD OKEECHOBEE RD 402#
WEST PALM BCH FL
33409-5253
US

V. Phone/Fax

Practice location:
  • Phone: 561-797-8437
  • Fax: 888-501-2185
Mailing address:
  • Phone: 561-797-8437
  • Fax: 888-501-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1550AD722901
License Number StateFL

VIII. Authorized Official

Name: NICHOLAS CIRIO
Title or Position: MANAGER
Credential:
Phone: 561-797-8437