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Dream Provider Care Services
Emotionally Disturbed Childrens' Residential Treatment Facility in Washington, North Carolina
NPI 1578783460

Dream Provider Care Services is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Washington, NC. Dream Provider Care Services practices in Washington, NC. The NPI Number for Dream Provider Care Services is 1578783460 and holds a License No. MHL007039 (North Carolina).

The current practice location address for Dream Provider Care Services is 707 James Dr, Washington, NC and can be reached out via phone at 252-946-9269.

Location: 707 James Dr, Washington, NC, 27889-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578783460
Provider Name
Dream Provider Care Services
Credential
Provider Entity Type
Organization
Address
707 James Dr, Washington, NC, 27889-3814
Phone Number
252-946-9269
Fax Number
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603735 05 NC
institution
Provider Business Practice Location Address Details
Address
707 James Dr
City
Washington
State
North Carolina
Zip
27889-3814
Phone Number
252-946-9269
Fax Number
person
Provider Business Mailing Address Details
Address
707 James Dr
City
Washington
State
North Carolina
Zip
27889-3814
Phone Number
252-946-9269
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL007039 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL007039 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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