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Organization
TWO DREAMS
Active
Organization
TWO DREAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SID JAMES MILTZ M.ED., LPC (CLINICAL DIRECTOR)
(877) 355-3732
Entity
Organization
Contact information
Practice address
1150 PERSIMON STREET, COROLLA, NC 27927
(877) 355-3732
Mailing address
PO BOX 635, COROLLA, NC 27927-0635
(877) 355-3732
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-027-010
NC
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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