OrganizationActive
Blue Sky Iop
NPI 1063200772 · Substance Abuse Rehabilitation Facility · Durham, NC
Provider details
- NPI number
- 1063200772
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nicholas Moore, Managing Member(323) 394-9671
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1800 Martin Luther King Pkwy Ste 204
Durham, NC 27707-3500
Phone: (984) 209-4645
Fax: (323) 213-7885
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Martin Luther King Pkwy Ste 204
Durham, NC 27707-3500
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.