| NPI | 1104324367 |
|---|---|
| Former Legal Business Name | BLUE LYTE INC. |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS CLARK Executive Director 248-615-3042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-01-19 |