NPI | 1083508063 |
---|---|
Doing Business As | THE DIFFERENCE 757 |
Entity Type | Organization |
Authorized Contact | JENNINE ROCHELLE BOOTH Manager 757-775-0113 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251E00000X Home Health |
385H00000X Respite Care | |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-06-26 |