Provider Demographics
NPI:1952502312
Name:ALTERNATIVE SOLUTIONS CENTER
Entity Type:Organization
Organization Name:ALTERNATIVE SOLUTIONS CENTER
Other - Org Name:ASCDEAF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-493-6044
Mailing Address - Street 1:11110 WHISPERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3668
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-493-6044
Practice Address - Street 1:11110 WHISPERWOOD LN
Practice Address - Street 2:
Practice Address - City:N BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3668
Practice Address - Country:US
Practice Address - Phone:301-493-6044
Practice Address - Fax:301-493-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4102606 01Medicaid