Provider Demographics
NPI:1700210903
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:561-797-8437
Mailing Address - Street 1:1860 OLD OKEECHOBEE RD
Mailing Address - Street 2:402#
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5253
Mailing Address - Country:US
Mailing Address - Phone:561-797-8437
Mailing Address - Fax:888-501-2185
Practice Address - Street 1:1860 OLD OKEECHOBEE RD
Practice Address - Street 2:402#
Practice Address - City:WEST PALM BCH
Practice Address - State:FL
Practice Address - Zip Code:33409-5253
Practice Address - Country:US
Practice Address - Phone:561-797-8437
Practice Address - Fax:888-501-2185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-25
Last Update Date:2013-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1550AD722901324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility