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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