Provider Demographics
NPI:1851763106
Name:SERENITY NOW CMHC, INC.
Entity Type:Organization
Organization Name:SERENITY NOW CMHC, INC.
Other - Org Name:SERENITY NOW-STUART
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:561-623-7432
Mailing Address - Street 1:2026 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3304
Mailing Address - Country:US
Mailing Address - Phone:772-678-3468
Mailing Address - Fax:
Practice Address - Street 1:1926 10TH AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-3369
Practice Address - Country:US
Practice Address - Phone:561-623-7432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERENITY NOW CMHC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder