# DREAM PROVIDER CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629293592
- **Authorized official:** MRS. WENDEE MARIE BAILEY (CEO)
- **Authorized official phone:** (252) 946-0585

## Contact information

- **Practice address:** 2272 BRILEY RD, GREENVILLE, NC 27834-8909
- **Practice address phone:** (252) 329-0390
- **Mailing address:** 1255 HIGHLAND DR, WASHINGTON, NC 27889-3405
- **Mailing address phone:** (252) 946-0585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL073135 | NC | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604125 | — | NC |