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Organization

DREAM PROVIDER CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ADREANNE TURNER BA (EXECUTIVE DIRECTOR)
(252) 946-0585
Entity
Organization

Contact information

Practice address
108 WATER STREET, COLUMBIA, NC 27925
(252) 946-0585
(252) 946-0580
Mailing address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(252) 946-0585
(252) 946-0580

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
MHL007036
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005782
NC
Enumeration date
08/30/2011
Last updated
03/17/2018
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