Organization
BRITESMILZ FAMILY & COMMUNITY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN S. DAWSON (DIRECTOR)
(252) 537-7575
Entity
Organization
Contact information
Practice address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
(252) 537-9008
Mailing address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
(252) 537-9008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300599
—
NC
Enumeration date
03/27/2007
Last updated
09/25/2013
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