NPI | 1275328585 |
---|---|
Doing Business As | THE DIFFERENCE 757 |
Entity Type | Organization |
Authorized Contact | JENNINE ROCHELLE BOOTH Manager/ Administrator 757-775-0113 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-04-09 |
Last Update Date | 2025-06-26 |