# P A S SUBSTANCE ABUSE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013363175
- **Authorized official:** MALISSA BENDER (ADMINISTRATOR)
- **Authorized official phone:** (772) 925-4917

## Contact information

- **Practice address:** 2021 AVENUE D, FORT PIERCE, FL 34950-2747
- **Practice address phone:** (772) 486-0733
- **Practice address fax:** (772) 468-0120
- **Mailing address:** 2021 AVENUE D, FORT PIERCE, FL 34950-2747
- **Mailing address phone:** (772) 486-0733
- **Mailing address fax:** (772) 468-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | ADC0136772016 | FL | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 05/09/2016