Organization
DREAM WORKS 2 CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA SIMMONS (MANAGEMENT)
(919) 539-4212
Entity
Organization
Contact information
Practice address
211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745
(919) 539-4212
Mailing address
211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745
(919) 539-4212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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