Individual
TIMOTHY HIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
1320 GOOD HOPE RD SE, WASHINGTON, DC 20020-6912
(202) 610-1886
Mailing address
350 U ST NE APT 204, WASHINGTON, DC 20002-1448
(240) 935-6010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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