| NPI | 1265020523 |
|---|---|
| Doing Business As | EASTERN AVENUE SOBER LIVING INC |
| Entity Type | Organization |
| Authorized Contact | VERNON PRESSLEY Board President 185-953-9410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-12-10 |