| NPI | 1104536267 |
|---|---|
| Doing Business As | SKY-RISE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NORMA OWENS HIXON Licensed Mental Health Counselor 904-314-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-12-02 |