Organization
BLUE SKY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MORENO (OWNER)
(208) 570-8894
Entity
Organization
Contact information
Practice address
923 16TH AVE S, NAMPA, ID 83651-4731
(208) 570-8894
Mailing address
923 16TH AVE S, NAMPA, ID 83651-4731
(208) 570-8894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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