| NPI | 1114313665 |
|---|---|
| Doing Business As | ACIDD FOR COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MATHEW President 301-377-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 2012014161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 03099) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2016-07-01 |