| Making A Difference Community Support Inc | |
|
104 W Water St Plymouth NC 27962-1306 | |
| (252) 793-2823 | |
| (252) 793-4139 |
| Full Name | Making A Difference Community Support Inc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 104 W Water St, Plymouth, North Carolina |
| Authorized Official Name and Position | Orlando Small (DESIGNEE) |
| Authorized Official Contact | 9199312225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Making A Difference Community Support Inc 49 Mackeys Rd Plymouth NC 27962-9609 Ph: () - | Making A Difference Community Support Inc 104 W Water St Plymouth NC 27962-1306 Ph: (252) 793-2823 |
| NPI Number | 1598089203 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 03/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598089203 | NPI | - | NPPES |
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Making A Difference Community Support Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Water St, Plymouth, NC 27962 Phone: 252-793-2823 Fax: 252-793-4139 | |
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