Organization
AMERICAN CTR FOR INTELLECTUAL AND DIVERSE DISORDERS FOR COUNSELING INC
Active
Other names
ACIDD for Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MATHEW (PRESIDENT)
(301) 377-0750
Entity
Organization
Contact information
Practice address
300 THOMAS DR STE A, LAUREL, MD 20707-4700
(301) 377-0750
(301) 377-0463
Mailing address
300 THOMAS DR STE A, LAUREL, MD 20707-4700
(301) 377-0750
(301) 377-0463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
03099
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2012014161
MD
Other
Enumeration date
04/11/2015
Last updated
07/01/2016
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