Active NPIOrganization

The Difference Of One Mentoring And Supportive Services, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Maple Shade, New Jersey

NPI Number1134777410
Practice location
119 Maplewood Dr, Maple Shade, NJ 08052-1923
Fax
—
Last updated
August 29, 2019

The Difference Of One Mentoring And Supportive Services, LLC is a healthcare organization based in Maple Shade, NJ. The Difference Of One Mentoring And Supportive Services, LLC practices in Maple Shade, NJ. The NPI Number for The Difference Of One Mentoring And Supportive Services, LLC is 1134777410. The current practice location address for The Difference Of One Mentoring And Supportive Services, LLC is 119 Maplewood Dr, Maple Shade, NJ 08052-1923 and can be reached out via phone at 609-781-1196.

Provider Profile Details

NPI Number
1134777410
Provider Name
The Difference Of One Mentoring And Supportive Services, LLC
Provider Entity Type
Organization
Address
119 Maplewood Dr, Maple Shade, NJ 08052-1923
Phone Number
609-781-1196
Organization Subpart
No
Authorized Official
Jocelyn Muse-Taylor · Executive Director · 609-781-1196
Provider Enumeration Date
August 29, 2019
Last Update Date
August 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Maplewood Dr
Maple Shade, NJ 08052-1923
Zip
08052-1923
Phone Number
609-781-1196
Maple Shade, NJ 08052Get directions →

Provider Business Mailing Address Details

Address
119 Maplewood Dr
Maple Shade, NJ 08052-1923
City
Maple Shade
State
NJ
Zip
08052-1923
Phone Number
609-781-1196

License Information

Taxonomy (1)
Clinic/Center, Adult Mental Health · 261QM0850X
Taxonomy (4)
In Home Supportive Care · 253Z00000X
Taxonomy (6)
Community/Behavioral Health · 251S00000X
Taxonomy (7)
Private Vehicle · 347C00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Difference Of One Mentoring And Supportive Services, LLC?

The NPI number of The Difference Of One Mentoring And Supportive Services, LLC is 1134777410. It was assigned on August 29, 2019 and is currently active in the NPPES registry.

What is the specialty of The Difference Of One Mentoring And Supportive Services, LLC?

The Difference Of One Mentoring And Supportive Services, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).

Where does The Difference Of One Mentoring And Supportive Services, LLC practice?

The practice location is 119 Maplewood Dr, Maple Shade, NJ 08052-1923. The office can be reached at 609-781-1196 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134777410 directly on the NPPES registry website.

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