Provider Demographics
NPI:1003305715
Name:SANABRIA, ANTHONY (QMHS)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:SANABRIA
Suffix:
Gender:M
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-2028
Mailing Address - Country:US
Mailing Address - Phone:216-453-1111
Mailing Address - Fax:
Practice Address - Street 1:5555 SMITH RD
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2028
Practice Address - Country:US
Practice Address - Phone:216-453-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health