Provider Demographics
NPI:1285119941
Name:MAKING A DIFFERENCE, INC.
Entity type:Organization
Organization Name:MAKING A DIFFERENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ALC
Authorized Official - Phone:256-452-4966
Mailing Address - Street 1:PO BOX 923
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-0923
Mailing Address - Country:US
Mailing Address - Phone:256-452-4966
Mailing Address - Fax:256-237-7995
Practice Address - Street 1:1313 NOBLE ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4642
Practice Address - Country:US
Practice Address - Phone:256-237-7995
Practice Address - Fax:256-237-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health