Provider Demographics
NPI:1821431495
Name:MANATEE COUNTY SUBSTANCE ABUSE COALITION, INC.
Entity Type:Organization
Organization Name:MANATEE COUNTY SUBSTANCE ABUSE COALITION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CPP
Authorized Official - Phone:941-749-3030
Mailing Address - Street 1:1112 MANATEE AVE W
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-7804
Mailing Address - Country:US
Mailing Address - Phone:941-749-3030
Mailing Address - Fax:
Practice Address - Street 1:1112 MANATEE AVE W
Practice Address - Street 2:SUITE 303
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-7804
Practice Address - Country:US
Practice Address - Phone:941-749-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health