NPI 1063200772
Blue Sky Iop
Practice location
- Address
- 1800 Martin Luther King Pkwy STE 204, Durham, NC 27707-3500
- Phone
- (984) 209-4645
- Fax
- (323) 213-7885
Authorised official
- Name
- Nicholas Moore
- Title
- Managing Member
- Phone
- (323) 394-9671
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1063200772
- Entity type
- Organization
- NPI issued
- 30 Apr 2025
- Record last updated
- 27 May 2025
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.