NPI | 1659651719 |
---|---|
Former Legal Business Name | DREAM PROVIDER CARE SERVICES |
Entity Type | Organization |
Authorized Contact | ADREANNE TURNER Executive Director 252-946-0585 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL007036) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2011-08-22 |
Last Update Date | 2020-01-13 |