# DARE TO BE DIFFERENT INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346133436
- **Authorized official:** THEODORE M WATSON (CEO/FOUNDER)
- **Authorized official phone:** (770) 853-0751

## Contact information

- **Practice address:** 648 MEMORIAL DR. SE,, ATLANTA, GA 30312
- **Practice address phone:** (770) 853-0751
- **Mailing address:** 2161 CYPRESS LN SW, ATLANTA, GA 30331-5923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | — |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 09/15/2025
