| Interdynamics, Inc. | |
|
4601 Forbes Blvd Lanham MD 20706-4807 | |
| (301) 306-4590 | |
| (301) 306-4591 |
| Full Name | Interdynamics, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4601 Forbes Blvd, Lanham, Maryland |
| Authorized Official Name and Position | Asneith D Mayberry (CERTIFIED ASSO ALCOHOL&DRUG COUNSEL) |
| Authorized Official Contact | 3013064590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interdynamics, Inc. 4601 Forbes Blvd Lanham MD 20706-4807 Ph: (301) 306-4590 | Interdynamics, Inc. 4601 Forbes Blvd Lanham MD 20706-4807 Ph: (301) 306-4590 |
| NPI Number | 1891039673 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891039673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AC1766 (Maryland) | Primary |
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