Organization
DREAM PROVIDER CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDEE MARIE BAILEY (CEO)
(252) 946-0585
Entity
Organization
Contact information
Practice address
2272 BRILEY RD, GREENVILLE, NC 27834-8909
(252) 329-0390
Mailing address
1255 HIGHLAND DR, WASHINGTON, NC 27889-3405
(252) 946-0585
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL073135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604125
—
NC
Enumeration date
04/16/2007
Last updated
08/22/2020
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