Organization
BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN S. DAWSON (EXECUTIVE DIRECTOR)
(252) 537-7575
Entity
Organization
Contact information
Practice address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
(252) 537-9008
Mailing address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
(252) 537-9008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302308
—
NC
05
—
8302308R
—
NC
Enumeration date
08/18/2008
Last updated
08/18/2008
Update your record
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