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Organization

AMERICAN CENTER FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN MD

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
300 THOMAS DR, SUITE D, LAUREL, MD 20707-4700
(301) 377-0750
Mailing address
8980 OLD ANNAPOLIS RD, SUITE B, COLUMBIA, MD 21045-2115
(443) 319-5010

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1658 1659
MD

Other

Enumeration date
10/03/2015
Last updated
10/03/2015
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