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An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X |
| NPI # | 1497168215 |
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| LBN Legal business name | BLUE LIGHT INC. | ||||
| Authorized official | PHYLLIS CLARK - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/09/2014 | ||||
| Last updated | 11/22/2024 - More than a year ago | ||||
| Identifiers |
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BLUE LIGHT INC.