Organization
BLUE SKIES OF NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEVOHN PARIS PHILLIPS B.A. QMHP (CEO/PROGRAM DIRECTOR)
(919) 358-7019
Entity
Organization
Contact information
Practice address
212 N CORCORAN ST, SUITE 214, DURHAM, NC 27701-3210
(919) 683-8672
(919) 683-8710
Mailing address
212 N CORCORAN ST, SUITE 214, DURHAM, NC 27701-3210
(919) 683-8672
(919) 683-8710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24537
NC
Other
Enumeration date
08/16/2009
Last updated
08/18/2009
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