Organization
SKYLIGHT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO ORTIZ (CREDENTIALING MANAGER)
(575) 707-8150
Entity
Organization
Contact information
Practice address
3600 CERRILLOS RD STE 719C, SANTA FE, NM 87507-2699
(505) 204-4252
Mailing address
3600 CERRILLOS RD STE 719C, SANTA FE, NM 87507-2699
(505) 204-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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