NPI 1114337565

Skyline Professional Services, LLC

Organisation Community/Behavioral Health Agency Yuma, AZ

Practice location

Address: 3970 W 24th St STE 209, Yuma, AZ 85364-9263
Phone: (928) 446-7146

Authorised official

Name: Jesus Daniel Sullivan
Title: Ceo
Phone: (928) 446-7146

Registered specialties (3)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LISAC-10172 (NM)

Other Community/Behavioral Health providers in Arizona →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence DVS0017 (AZ)

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence DUI0024 (AZ)

Registry record

NPI: 1114337565
Entity type: Organization
NPI issued: 6 May 2014
Record last updated: 6 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.