Organization
LYONS SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JEANTY MA (PRESIDENT)
(121) 562-0924
Entity
Organization
Contact information
Practice address
195 PENNYPACKER DR, WILLINGBORO, NJ 08046-2646
(609) 332-8385
Mailing address
195 PENNYPACKER DR, WILLINGBORO, NJ 08046-2646
(609) 332-8385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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