Provider Demographics
NPI:1104397629
Name:SPMJ, INC.
Entity Type:Organization
Organization Name:SPMJ, INC.
Other - Org Name:PURPOSE RECOVERY AND ADDICTION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:NONSANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-684-2055
Mailing Address - Street 1:375 S COURTENAY PKWY STE 7A
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952-4868
Mailing Address - Country:US
Mailing Address - Phone:561-715-3260
Mailing Address - Fax:512-532-0923
Practice Address - Street 1:375 S COURTENAY PKWY STE 7A
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-4868
Practice Address - Country:US
Practice Address - Phone:561-715-3260
Practice Address - Fax:512-532-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)