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Organization

MAKING A DIFFERENCE MINISTRIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOORE H BYNUM (CEO)
(252) 915-9104
Entity
Organization

Contact information

Practice address
1020 HIGHWAY 158/401 BUSINESS, NORLINA, NC 27563-9139
(252) 915-9104
Mailing address
131 BYNUM PL, NORLINA, NC 27563-9139
(252) 915-9104

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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