Organization
SKYE MESA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA SKYE LCSW (OWNER)
(505) 303-0726
Entity
Organization
Contact information
Practice address
5 WARM CREEK RD, SAN LORENZO, NM 88041-9536
(505) 303-0726
Mailing address
5 WARM CREEK RD, SAN LORENZO, NM 88041-9536
(505) 303-0726
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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