Organization · Type 2 NPI

Eastern Avenue Sober Living Inc

Substance Abuse Rehabilitation Facility · Lexington, KY

NPI number 1265020523 Active

Practice location

208 Eastern Ave
Lexington, KY 40508-1918

Call (754) 226-5343 Map

Mailing address

113 Masterson Station Dr
Lexington, KY 40511-8736

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1265020523

Eastern Avenue Sober Living Inc's National Provider Identifier is 1265020523, issued on Jan 4, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lexington, KY. The record was last updated on Dec 10, 2021.