Blue Light Inc.
NPI #1497168215 in Wayne, Michigan
Provider Information
- NPI Number
- 1497168215
- Entity Type
- Organization
- Organization Name
- Blue Light Inc.
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jun 9, 2014
- Last Updated
- Nov 22, 2024
Practice Location
Authorized Official
- Name
- MS. PHYLLIS CLARK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (313) 999-4890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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