| NPI | 1649055542 |
|---|---|
| Former Legal Business Name | BLUE SKY HEALTH AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | EDITHA ANNE BUTLER Clinical Director 803-260-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-05-01 |