NPI | 1891532057 |
---|---|
Doing Business As | SKYLIGHT BEHAVIOR HEALTH, PLLC |
Entity Type | Organization |
Authorized Contact | KATHERINE D'ANGELO Pmhnp Bc 475-267-1088 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2024-07-13 |
Last Update Date | 2024-07-13 |