Provider Demographics
NPI:1689794380
Name:DRUG ABUSE TREATMENT ASSOCIATION, INC.
Entity Type:Organization
Organization Name:DRUG ABUSE TREATMENT ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-743-1034
Mailing Address - Street 1:1016 CLEMMONS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-3300
Mailing Address - Country:US
Mailing Address - Phone:561-743-1034
Mailing Address - Fax:
Practice Address - Street 1:4590 SELVITZ RD
Practice Address - Street 2:BUILDING B
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4801
Practice Address - Country:US
Practice Address - Phone:772-595-3322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health