Organization
MAKING A DIFFERENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO SMALL (CEO)
(202) 436-5386
Entity
Organization
Contact information
Practice address
12781 DARBY BROOK CT, WOODBRIDGE, VA 22192-2482
(571) 243-1845
Mailing address
12781 DARBY BROOK CT, WOODBRIDGE, VA 22192-2482
(571) 243-1845
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
VA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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