NPI | 1417300575 |
---|---|
Doing Business As | LISH, INC. |
Entity Type | Organization |
Authorized Contact | JAMES POWELL CEO 631-650-2085 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2016-07-13 |
Last Update Date | 2019-09-27 |