Organization · Type 2 NPI
Making A Difference Community Support LLC
Rehabilitation Clinic/Center · Manteo, NC
NPI number
1912186735
Active
Practice location
102 Old Tom Ave.
Manteo, NC 27954
Mailing address
PO Box 7672
Kill Devil Hills, NC 27948-6672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 261QM0850X (NC) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 261QM0855X (NC) |
| Rehabilitation Clinic/Center Primary | 261QR0400X | 261QR0400X (NC) |
Rehabilitation Clinic/Center: Definition to come...
About NPI 1912186735
Making A Difference Community Support LLC's National Provider Identifier is 1912186735, issued on Oct 29, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Manteo, NC. The record was last updated on Nov 1, 2007.