Provider Demographics
NPI:1760008254
Name:SOBER FIRST, LLC
Entity Type:Organization
Organization Name:SOBER FIRST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-508-1729
Mailing Address - Street 1:4415 EUCLID AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-3758
Mailing Address - Country:US
Mailing Address - Phone:857-206-0569
Mailing Address - Fax:
Practice Address - Street 1:4415 EUCLID AVE STE 204
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-3758
Practice Address - Country:US
Practice Address - Phone:857-206-0569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOBER GRID, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty