| NPI | 1275310468 |
|---|---|
| Professional Name | SKY TRIBE SERVICES INC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AZ Q06202315485) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: AZ Q06202315485) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ Q06202315485) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-02-03 |