Organization
DIFFERENCE MAKERS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ALEXANDER WHITE SR. B.S., QMHP, NCII (PRESIDENT)
(704) 297-5228
Entity
Organization
Contact information
Practice address
2020 REMOUNT RD, SUITE E-106, GASTONIA, NC 28054-7476
(704) 297-5228
Mailing address
2020 REMOUNT RD, SUITE E-106, GASTONIA, NC 28054-7476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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