| NPI | 1235684127 |
|---|---|
| Doing Business As | LISH, INC. |
| Entity Type | Organization |
| Authorized Contact | JAMES POWELL CEO 631-650-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2019-09-27 |