Provider Demographics
NPI:1750931721
Name:SERENITY OUTPATIENT SERVICES
Entity type:Organization
Organization Name:SERENITY OUTPATIENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAR
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC, MSHS
Authorized Official - Phone:240-534-3923
Mailing Address - Street 1:9701 APOLLO DR STE 461
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-6701
Mailing Address - Country:US
Mailing Address - Phone:240-534-3923
Mailing Address - Fax:240-599-5902
Practice Address - Street 1:9701 APOLLO DR STE 461
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-6701
Practice Address - Country:US
Practice Address - Phone:240-534-3923
Practice Address - Fax:240-599-5902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health