| NPI | 1629034772 |
|---|---|
| Doing Business As | PRIME LIFE NETWORK |
| Entity Type | Organization |
| Authorized Contact | LINDA PACKER President 212-534-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0371551) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |