Organization
DARE TO BE DIFFERENT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE M WATSON (CEO/FOUNDER)
(770) 853-0751
Entity
Organization
Contact information
Practice address
648 MEMORIAL DR. SE,, ATLANTA, GA 30312
(770) 853-0751
Mailing address
2161 CYPRESS LN SW, ATLANTA, GA 30331-5923
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
343800000X
Secured Medical Transport (VAN)
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/29/2025
Last updated
09/15/2025
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