# INTERDYNAMICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891039673
- **Authorized official:** MS. ASNEITH D MAYBERRY CAC (CERTIFIED ASSO ALCOHOL&DRUG COUNSEL)
- **Authorized official phone:** (301) 306-4590

## Contact information

- **Practice address:** 4601 FORBES BLVD, LANHAM, MD 20706-4807
- **Practice address phone:** (301) 306-4590
- **Practice address fax:** (301) 306-4591
- **Mailing address:** 4601 FORBES BLVD, LANHAM, MD 20706-4807
- **Mailing address phone:** (301) 306-4590
- **Mailing address fax:** (301) 306-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | AC1766 | MD | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 11/19/2012