Organization
CLUB UPLIFTED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALORY BROWN (PRESIDENT)
(734) 272-5768
Entity
Organization
Contact information
Practice address
30 N WASHINGTON ST, YPSILANTI, MI 48197-3602
(734) 272-5768
(734) 879-0562
Mailing address
30 N WASHINGTON ST, YPSILANTI, MI 48197-3602
(734) 272-5768
(734) 879-0562
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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