| NPI | 1184204745 |
|---|---|
| Doing Business As | BLUE SKY MENTAL HEALTH CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | JASON GADNER ELIASSAINT Pmhnp Bc 404-992-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-05-14 |