Organization
MBANGO ENTERPRISES LLC
Active
Parent organization
MBANGO ENTERPRISES LLC
Other names
SKY MENTAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MBANGO ENTERPRISES LLC
Authorized official
BENEDICTO MBANGO (OWNER/ AUTHORIZED OFFICIAL)
(720) 717-9288
Entity
Organization
Contact information
Practice address
1450 S HAVANA ST STE 522, AURORA, CO 80012-4030
(720) 496-3160
(720) 370-2994
Mailing address
1450 S HAVANA ST STE 522, AURORA, CO 80012-4030
(720) 496-3160
(720) 370-2994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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