P a S Substance Abuse Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

ADC0136772016 Issued in FL

Legal business name

P A S SUBSTANCE ABUSE INC

Practice address

2021 Avenue D
Fort Pierce, FL 34950-2747

Phone

(772) 486-0733

Fax

(772) 468-0120

NPI assigned

May 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malissa Bender

Title

Administrator

Phone

(772) 925-4917

Specialties & licenses 1

Addresses

Tax ID family

P a S Substance Abuse Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pas Substance Abuse, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fort Pierce, FL
  • NPI 1386139699
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1013363175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 AVENUE D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349502747",
            "telephone_number": "772-486-0733",
            "fax_number": "772-468-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 AVENUE D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349502747",
            "telephone_number": "772-486-0733",
            "fax_number": "772-468-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P A S SUBSTANCE ABUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-925-4917"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "ADC0136772016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.