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Organization
THE DIFFERENCE OF ONE MENTORING AND SUPPORTIVE SERVICES, LLC
Active
Organization
THE DIFFERENCE OF ONE MENTORING AND SUPPORTIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN MUSE-TAYLOR (EXECUTIVE DIRECTOR)
(609) 781-1196
Entity
Organization
Contact information
Practice address
119 MAPLEWOOD DR, MAPLE SHADE, NJ 08052-1923
(609) 781-1196
Mailing address
119 MAPLEWOOD DR, MAPLE SHADE, NJ 08052-1923
(609) 781-1196
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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