Provider Demographics
NPI:1508205683
Name:HILLSBOROUGH COUNTY ANTI DRUG ALLIANCE, INC.
Entity Type:Organization
Organization Name:HILLSBOROUGH COUNTY ANTI DRUG ALLIANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-238-4034
Mailing Address - Street 1:2815 E HENRY AVE
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-1471
Mailing Address - Country:US
Mailing Address - Phone:813-238-4034
Mailing Address - Fax:813-237-0920
Practice Address - Street 1:2815 E HENRY AVE
Practice Address - Street 2:SUITE B-1
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-1471
Practice Address - Country:US
Practice Address - Phone:813-238-4034
Practice Address - Fax:813-237-0920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health