Active NPI
Youth Against Substance Abuse, Inc
- Case Manager/Care Coordinator
- Orlando, FL
National Provider Identifier
1780987057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- YOUTH AGAINST SUBSTANCE ABUSE, INC
- Practice address
- 5004 Briar Oaks Circle
Orlando, FL 32808-1708 - Phone
- (407) 970-8019
- Fax
- (407) 578-3094
- NPI assigned
- Dec 8, 2010
- Last updated
- Dec 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vonzelia Pickett Mangham, BSW/TCM
- Title
- Director/Target Case Mangham
- Phone
- (407) 970-8019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
5004 Briar Oaks Circle
Orlando, FL 32808-1708
Mailing address
5004 Briar Oaks Circle
Orlando, FL 32808-1708
Phone (407) 970-8019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001674900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291766400000",
"number": "1780987057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5004 BRIAR OAKS CIRCLE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328081708",
"telephone_number": "407-970-8019",
"fax_number": "407-578-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5004 BRIAR OAKS CIRCLE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328081708",
"telephone_number": "407-970-8019",
"fax_number": "407-578-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH AGAINST SUBSTANCE ABUSE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A",
"authorized_official_last_name": "MANGHAM",
"authorized_official_first_name": "VONZELIA",
"authorized_official_middle_name": "PICKETT",
"authorized_official_title_or_position": "DIRECTOR/TARGET CASE MANGHAM",
"authorized_official_telephone_number": "407-970-8019",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSW/TCM"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001674900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.