Provider Demographics
NPI:1164835856
Name:PBC & ASSOCIATES MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:PBC & ASSOCIATES MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DURETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-366-2700
Mailing Address - Street 1:4699 N FEDERAL HWY
Mailing Address - Street 2:102F
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6510
Mailing Address - Country:US
Mailing Address - Phone:954-210-6070
Mailing Address - Fax:888-900-2325
Practice Address - Street 1:4699 N FEDERAL HWY
Practice Address - Street 2:102F
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6510
Practice Address - Country:US
Practice Address - Phone:954-210-6070
Practice Address - Fax:888-900-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty