Organization
DREAM PROVIDER CARE SERVICES
Active
Other names
Dream Provider Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
WENDEE M BAILEY (OWNER.)
(252) 946-0585
Entity
Organization
Contact information
Practice address
703 N BROAD STREET, DREAM PROVIDER CARE SERVICES, EDENTON, NC 27932-0703
(252) 946-0585
(252) 946-0580
Mailing address
216 STEWART PKWY, DREAM PROVIDER CARE SERVICES, INC., WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHL007036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005782
—
NC
Enumeration date
08/22/2011
Last updated
05/18/2017
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