Provider Demographics
NPI:1619344629
Name:SERENE TREATMENT, INC.
Entity Type:Organization
Organization Name:SERENE TREATMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CIRIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-478-2235
Mailing Address - Street 1:1860 OLD OKEECHOBEE RD
Mailing Address - Street 2:SUITE # 402
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5253
Mailing Address - Country:US
Mailing Address - Phone:561-478-2235
Mailing Address - Fax:561-508-3354
Practice Address - Street 1:1860 OLD OKEECHOBEE RD
Practice Address - Street 2:SUITE # 508
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5253
Practice Address - Country:US
Practice Address - Phone:561-478-2235
Practice Address - Fax:561-508-3354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1550AD722901324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility