| Blue Sky Behavioral Health | |
|
923 16th Ave S Nampa ID 83651-4731 | |
| (208) 570-8894 | |
| Not Available |
| Full Name | Blue Sky Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 923 16th Ave S, Nampa, Idaho |
| Authorized Official Name and Position | Jeffrey Moreno (OWNER) |
| Authorized Official Contact | 2085708894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sky Behavioral Health 923 16th Ave S Nampa ID 83651-4731 Ph: (208) 570-8894 | Blue Sky Behavioral Health 923 16th Ave S Nampa ID 83651-4731 Ph: (208) 570-8894 |
| NPI Number | 1053199778 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053199778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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