Organization
DREAM PROVIDER CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDEE M BAILEY (OWNER)
(252) 946-0585
Entity
Organization
Contact information
Practice address
216 STEWART PKWY, WASHINGTON, NC 27889-4972
(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
Primary
8301273
NC
251S00000X
Community/Behavioral Health Agency
8301273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760407746
DG BRYANT
NC
01
—
1922023902
LIC CLINICAL SOCIAL WORK
NC
Enumeration date
03/28/2007
Last updated
05/11/2017
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