Organization
DREAMS AND VISION, LLC- CADES COVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN ROBERSON (EXECUTIVE DIRECTOR/OWNER)
(704) 281-7261
Entity
Organization
Contact information
Practice address
4429 CADES COVE DR, CHARLOTTE, NC 28273-4586
(704) 206-1255
(704) 910-4188
Mailing address
5736 N TRYON ST STE 130, CHARLOTTE, NC 28213-6898
(704) 206-1255
(704) 910-4188
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603885
—
NC
Enumeration date
05/09/2016
Last updated
05/09/2016
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