Dream Provider Care Services
Organization Active NPI Community/Behavioral Health Agency · Columbia, NC
NPI 1306127758 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1306127758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- MHL007036 (NC)
- Legal business name
- DREAM PROVIDER CARE SERVICES
- Practice address
- 108 Water Street
Columbia, NC 27925 - Phone
- (252) 946-0585
- Fax
- (252) 946-0580
- NPI assigned
- Aug 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Adreanne Turner, BA
- Title
- Executive Director
- Phone
- (252) 946-0585
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Dream Provider Care Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | MHL007036 | NC | Yes |
Addresses
Primary practice location
108 Water Street
Columbia, NC 27925
Mailing address
216 Stewart Pkwy
Washington, NC 27889-4972
Phone (252) 946-0585
Other practice location 1
410 Road Street Ext.
Columbia, NC 27925-9800
Phone (252) 946-0585
Other practice location 2
410 Road Street Ext.
Columbia, NC 27925-9800
Phone (252) 946-0585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005782 | Medicaid | NC |
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All providers in Columbia, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.