| NPI | 1699332189 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LYONS CEO 347-268-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171R00000X Interpreter |
| 207RA0201X Internal Medicine Allergy & Immunology | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 246RP1900X Technician, Pathology Phlebotomy | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QP2300X Clinic/Center Primary Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2020-01-02 |