Provider Demographics
NPI:1023459922
Name:HIGHLANDS COUNTY COMMUNITY COALITION FOR SUBSTANCE ABUSE EDUCATION
Entity type:Organization
Organization Name:HIGHLANDS COUNTY COMMUNITY COALITION FOR SUBSTANCE ABUSE EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAYANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-382-2138
Mailing Address - Street 1:501 LEMON AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3545
Mailing Address - Country:US
Mailing Address - Phone:863-382-2138
Mailing Address - Fax:863-382-2140
Practice Address - Street 1:501 LEMON AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3545
Practice Address - Country:US
Practice Address - Phone:863-382-2138
Practice Address - Fax:863-382-2140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health