Organization
ILLUMINATING STEPS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE LEE (EXECUTIVE DIRECTOR)
(631) 987-3043
Entity
Organization
Contact information
Practice address
1 DEER PATH, EAST PATCHOGUE, NY 11772-4616
(631) 987-3043
Mailing address
1 DEER PATH, EAST PATCHOGUE, NY 11772-4616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000145
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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