| Blue Light Music Program | |
|
34 Mill St Mount Holly NJ 08060-1804 | |
| (609) 914-0230 | |
| Not Available |
| Full Name | Blue Light Music Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34 Mill St, Mount Holly, New Jersey |
| Authorized Official Name and Position | Matthew David Bogacki (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6099140230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Light Music Program 34 Mill St Mount Holly NJ 08060-1804 Ph: () - | Blue Light Music Program 34 Mill St Mount Holly NJ 08060-1804 Ph: (609) 914-0230 |
| NPI Number | 1962930966 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962930966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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