| Dream House | |
|
664 Stratford Blvd Kinston NC 28504-9647 | |
| (252) 468-2973 | |
| (855) 717-1947 |
| Full Name | Dream House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 664 Stratford Blvd, Kinston, North Carolina |
| Authorized Official Name and Position | Darren Terrell Manning (PRESIDENT) |
| Authorized Official Contact | 2525508609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream House 664 Stratford Blvd Kinston NC 28504-9647 Ph: (252) 550-8609 | Dream House 664 Stratford Blvd Kinston NC 28504-9647 Ph: (252) 468-2973 |
| NPI Number | 1417699240 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417699240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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