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Organization
BLUE SKY MENTAL HEALTH INC
Active
Organization
BLUE SKY MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE AGUILAR MSN, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(786) 486-8000
Entity
Organization
Contact information
Practice address
5454 ZELZAH AVE APT 315, ENCINO, CA 91316-2252
(786) 486-8000
Mailing address
5454 ZELZAH AVE APT 315, ENCINO, CA 91316-2252
(786) 486-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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