NPI | 1487419909 |
---|---|
Other Name | SKY BEHAVIORAL HEALTH LLC |
Entity Type | Organization |
Authorized Contact | FATUMA FARAH Program Manager 612-401-8054 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
101YP2500X Counselor, Professional | |
Enumeration Date | 2024-02-14 |
Last Update Date | 2024-02-14 |