Entity Name: | YOUTH AGAINST SUBSTANCE ABUSE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 25 Jan 2005 (20 years ago) |
Date of dissolution: | 28 Sep 2018 (7 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (7 years ago) |
Document Number: | N05000000766 |
FEI/EIN Number |
383692698
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 5004 Briar Oaks Circle, Orlando, FL, 32808, US |
Mail Address: | 5004 Briar Oaks Circle, Orlando, FL, 32808, US |
ZIP code: | 32808 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780987057 | 2010-12-08 | 2010-12-08 | 5004 BRIAR OAKS CIRCLE, ORLANDO, FL, 328081708, US | 5004 BRIAR OAKS CIRCLE, ORLANDO, FL, 328081708, US | |||||||||||||||||||||
|
Phone | +1 407-970-8019 |
Fax | 4075783094 |
Authorized person
Name | MS. VONZELIA PICKETT MANGHAM |
Role | DIRECTOR/TARGET CASE MANGHAM |
Phone | 4079708019 |
Taxonomy
Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 001674900 |
State | FL |
Name | Role | Address |
---|---|---|
RIGGINS DANIALLE K. | Director | 1084 SE 57TH AVE, OCALA, FL, 34471 |
CARTER NICOLE | Director | 656 N W 20TH COURT, POMPANO BEACH, FL, 33060 |
MANGHAM VONZELLA | Director | 5004 BRIAR OAKS CIRCLE, ORLANDO, FL, 32808 |
MANGHAM VONZELLA | Agent | 5004 BRIAR OAKS CIRCLE, ORLANDO, FL, 32808 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2015-04-25 | 5004 Briar Oaks Circle, Orlando, FL 32808 | - |
CHANGE OF MAILING ADDRESS | 2015-04-25 | 5004 Briar Oaks Circle, Orlando, FL 32808 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2017-04-13 |
ANNUAL REPORT | 2016-04-30 |
ANNUAL REPORT | 2015-04-25 |
ANNUAL REPORT | 2014-04-30 |
ANNUAL REPORT | 2013-04-22 |
ANNUAL REPORT | 2012-04-24 |
ANNUAL REPORT | 2011-03-09 |
ANNUAL REPORT | 2010-02-28 |
ANNUAL REPORT | 2009-02-19 |
ANNUAL REPORT | 2008-03-06 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State