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Making A Difference Community Support Llc
Rehabilitation Clinic/Center in Manteo, North Carolina
NPI 1912186735

Making A Difference Community Support Llc is a Rehabilitation Clinic/Center based in Kill Devil Hills, NC and is specialized in Rehabilitation. Making A Difference Community Support Llc practices in Manteo, NC. The NPI Number for Making A Difference Community Support Llc is 1912186735 and holds a License No. 261QM0850X (North Carolina).

The current practice location address for Making A Difference Community Support Llc is 102 Old Tom Ave., Manteo, NC and can be reached out via phone at 252-475-9829.

Location: 102 Old Tom Ave., Manteo, NC, 27948-6672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912186735
Provider Name
Making A Difference Community Support Llc
Credential
Provider Entity Type
Organization
Address
102 Old Tom Ave., Manteo, NC, 27948-6672
Phone Number
252-475-9829
Fax Number
Provider Enumeration Date
10/29/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
102 Old Tom Ave.
City
Manteo
State
North Carolina
Zip
27954
Phone Number
252-475-9829
Fax Number
person
Provider Business Mailing Address Details
Address
102 Old Tom Ave.
City
Manteo
State
North Carolina
Zip
27954
Phone Number
252-475-9829
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
261QR0400X (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
261QM0855X (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
261QM0850X (North Carolina)
Definition
Definition to come...
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