| NPI | 1760921944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND H PIENKOSZ Director Of Coach Development 347-687-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |