Organization
YOUR SERENINTI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULINE ALLEN (MGR)
(321) 414-2248
Entity
Organization
Contact information
Practice address
601 21ST ST STE 300, VERO BEACH, FL 32960-0860
(321) 414-2248
Mailing address
3425 BAYSIDE LAKES BLVD SE STE 103, PALM BAY, FL 32909-6867
(321) 414-2248
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/06/2020
Last updated
04/16/2020
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