| NPI | 1417234618 |
|---|---|
| Doing Business As | EASTERN AVENUE HEALTH SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | KEITH KENNEDY Executive 202-337-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |