| NPI | 1447603501 |
|---|---|
| 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 |