Organization
CLEAR SKY BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MAURICE PRICE (MANAGING MEMBER)
(828) 442-1396
Entity
Organization
Contact information
Practice address
55 RAILROAD ST, MARION, NC 28752-5699
(828) 559-0346
(704) 603-5986
Mailing address
33 BURGIN ST STE D, MARION, NC 28752-3903
(828) 559-2208
(704) 603-5986
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00542
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-059-072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4011
—
NC
Enumeration date
07/02/2016
Last updated
01/28/2019
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