The Difference Of One Mentoring And Supportive Services, LLC
Community/Behavioral Health in Maple Shade, New Jersey
1578100558- Practice location
- 119 Maplewood Dr, Maple Shade, NJ 08052-1923
- Phone
- 609-781-1196
- Fax
- —
- Last updated
- December 9, 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 1578100558. 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
- 1578100558
- 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
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Jocelyn Muse-Taylor · Executive Director · 609-781-1196
- Provider Enumeration Date
- December 9, 2019
- Last Update Date
- December 9, 2019
- Certification Date
- December 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Maplewood Dr
Maple Shade, NJ 08052-1923 - City
- Maple Shade
- State
- New Jersey
- Zip
- 08052-1923
- Phone Number
- 609-781-1196
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)
- Case Management · 251B00000X
- Taxonomy (2)
- In Home Supportive Care · 253Z00000X
- Taxonomy (3)
- Clinic/Center, Developmental Disabilities · 261QD1600X
- Taxonomy (4)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (5)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (6)
- Respite Care, Respite Care, Mental Illness, Child · 385HR2055X
- Taxonomy (7)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1578100558. It was assigned on December 9, 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 Community/Behavioral Health (code 251S00000X).
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 1578100558 directly on the NPPES registry website.