Provider Demographics
NPI:1720459878
Name:SERENITY NOW CMHC, INC.
Entity type:Organization
Organization Name:SERENITY NOW CMHC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:
Authorized Official - Phone:561-699-9626
Mailing Address - Street 1:1300 NW 17TH AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-2578
Mailing Address - Country:US
Mailing Address - Phone:561-623-7432
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:2015-10-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder