NPI 1013363175

P a S Substance Abuse INC

Organisation Case Management Agency Fort Pierce, FL

Practice location

Address: 2021 Avenue D, Fort Pierce, FL 34950-2747
Phone: (772) 486-0733
Fax: (772) 468-0120

Authorised official

Name: Malissa Bender
Title: Administrator
Phone: (772) 925-4917

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence ADC0136772016 (FL)

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Registry record

NPI: 1013363175
Entity type: Organization
NPI issued: 9 May 2016
Record last updated: 9 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.