Making a Difference Community Support INC
NPI #1174848246 in Plymouth, North Carolina
Provider Information
- NPI Number
- 1174848246
- Entity Type
- Organization
- Organization Name
- Making a Difference Community Support INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 1, 2010
- Last Updated
- Apr 1, 2010
Practice Location
- Address
- 104 W WATER ST
- City
- Plymouth
- State
- North Carolina
- ZIP Code
- 27962-1306
- Phone
- (252) 793-2823
Authorized Official
- Name
- ORLANDO SMALL
- Title
- DESIGNEE
- Phone
- (919) 931-2225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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