Organization
AMERICAN CTR FOR INTELLECTUAL AND DEV. DISABILITIES IN MD, INC.
Active
Other names
ACIDD Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MATHEW PH.D. (PRESIDENT)
(443) 718-7031
Entity
Organization
Contact information
Practice address
8980 OLD ANNAPOLIS RD, SUITE B, COLUMBIA, MD 21045-2115
(443) 319-5010
Mailing address
5999 HARPERS FARM RD, SUITE E-250, COLUMBIA, MD 21044-3013
(443) 319-5010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422862600
—
MD
Enumeration date
06/05/2014
Last updated
05/16/2016
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