Organization
BRITESMILZ FAMILY & COMMUNITY CONNECTIONS LLC
Active
Other names
BRITESMILZ TRAILBLAZERS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN S. DAWSON (EXECUTIVE DIRECTOR)
(252) 537-7575
Entity
Organization
Contact information
Practice address
622 ROANOKE AVE, ROANOKE RAPIDS, NC 27870-2745
(252) 537-7575
Mailing address
PO BOX 86, ROANOKE RAPIDS, NC 27870-0086
(252) 535-0066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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