Provider Demographics
NPI:1891826749
Name:PROJECT DREAM, INC.
Entity Type:Organization
Organization Name:PROJECT DREAM, INC.
Other - Org Name:DREAM, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, NCACII, CADCIII
Authorized Official - Phone:785-628-6655
Mailing Address - Street 1:2818 VINE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1927
Mailing Address - Country:US
Mailing Address - Phone:785-628-6655
Mailing Address - Fax:785-628-8365
Practice Address - Street 1:2818 VINE ST
Practice Address - Street 2:SUITE A
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1927
Practice Address - Country:US
Practice Address - Phone:785-628-6655
Practice Address - Fax:785-628-8365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS354251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS23420OtherINSURANCE