Provider Demographics
NPI:1154743482
Name:SKYYE IS THE LIMIT, CENTER FOR ACADEMIC, ATHLETIC & CULTURAL EXCELLENC
Entity type:Organization
Organization Name:SKYYE IS THE LIMIT, CENTER FOR ACADEMIC, ATHLETIC & CULTURAL EXCELLENC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK-ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:631-525-9944
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-0294
Mailing Address - Country:US
Mailing Address - Phone:631-525-9944
Mailing Address - Fax:631-617-5216
Practice Address - Street 1:34 WILLOUGHBY ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-2418
Practice Address - Country:US
Practice Address - Phone:631-525-9944
Practice Address - Fax:631-617-5216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251300000XAgenciesLocal Education Agency (LEA)
No253Z00000XAgenciesIn Home Supportive Care