Organization
BLUE SKY BEHAVIORAL SERVICES, INC
Active
Organization
BLUE SKY BEHAVIORAL SERVICES, INC
Active
Parent organization
BLUE SKY BEHAVIORAL SERVICES, INC.
Other names
BLUE S. B. SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE SKY BEHAVIORAL SERVICES, INC.
Authorized official
LUCIA P GRANCHAMPS BAS (MANAGER)
(321) 339-6156
Entity
Organization
Contact information
Practice address
291 AWIN CIR SE, PALM BAY, FL 32909-8563
(321) 339-6156
Mailing address
291 AWIN CIR SE, PALM BAY, FL 32909-8563
(321) 339-6156
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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