Organization
SERENITY COMMUNITY MENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADIRA SANTANA (C.E.O)
(954) 391-9478
Entity
Organization
Contact information
Practice address
12542 PINES BLVD, PEMBROKE PINES, FL 33027-1713
(954) 391-9478
(954) 367-6684
Mailing address
12542 PINES BLVD, PEMBROKE PINES, FL 33027-1713
(954) 391-9478
(954) 367-6684
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017222300
—
FL
Enumeration date
07/19/2021
Last updated
07/19/2021
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