Organization
MY BLUE SKY PC
Active
Other names
SANDHILLS THERAPY SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY ROZIER AUTRY (OFFICE ADMINISTRATOR)
(910) 257-2005
Entity
Organization
Contact information
Practice address
3419B MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 257-2005
(910) 485-6315
Mailing address
3419B MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 257-2005
(910) 485-6315
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
6074
NC
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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