| Organization Name: | SERENITY BEHAVIORAL HEALTH LLC |
| NPI Number: | 1023365624 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALVATORE PALERMO (MANAGER) |
| Mailing Address: | 2303 Hollywood Blvd Suite 12 Hollywood |
| State: | FL US |
| Postal Code: | 330206711 |
| Phone Number: | 9543677944 |
| Fax Number: | 9543748311 |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | ME99606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |