THE DIFFERENCE OF ONE MENTORING AND SUPPORTIVE SERVICES LLC NPI 1134777410

NPI Information

NPI: 1134777410
Provider Name: THE DIFFERENCE OF ONE MENTORING AND SUPPORTIVE SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
119 MAPLEWOOD DR
MAPLE SHADE, NJ
ZIP 08052
Phone: (609) 781-1196
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THE DIFFERENCE OF ONE MENTORING AND SUPPORTIVE SERVICES, LLC is a mental health (including community mental health center) clinic center in Maple Shade, NJ. THE DIFFERENCE OF ONE MENTORING AND SUPPORTIVE SERVICES, LLC NPI is 1134777410. The provider is registered as an organization entity type.

The provider's business location address is:

119 MAPLEWOOD DR
MAPLE SHADE, NJ
ZIP 08052-923
Phone: (609) 781-1196

The provider's authorized official is Jocelyn Muse-taylor .
The authorized official title is Executive Director and has the following contact phone number (609) 781-1196.

The enumeration date for this NPI number is 8/29/2019 and was last updated on 8/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	253Z00000X	In Home Supportive Care		No
5	261QD1600X	Clinic/Center	Developmental Disabilities	No
6	251S00000X	Community/Behavioral Health		No
7	347C00000X	Private Vehicle		No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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