Provider Demographics
NPI:1578906541
Name:STEPS 2 SERENITY, LLC
Entity Type:Organization
Organization Name:STEPS 2 SERENITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:MOREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-592-6234
Mailing Address - Street 1:2501 E COMMERCIAL BLVD
Mailing Address - Street 2:213
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4131
Mailing Address - Country:US
Mailing Address - Phone:954-204-3840
Mailing Address - Fax:
Practice Address - Street 1:2501 E COMMERCIAL BLVD
Practice Address - Street 2:213
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4131
Practice Address - Country:US
Practice Address - Phone:954-204-3840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility