Alek's House Llc | |
4200 Forbes Blvd Suite 122 Lanham MD 20706-4342 | |
(301) 429-6100 | |
(301) 429-1333 |
Full Name | Alek's House Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 4200 Forbes Blvd, Lanham, Maryland |
Authorized Official Name and Position | Nicola Davis (OWNER) |
Authorized Official Contact | 3017310383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alek's House Llc 4200 Forbes Blvd Suite 122 Lanham MD 20706-4342 Ph: (301) 731-0383 | Alek's House Llc 4200 Forbes Blvd Suite 122 Lanham MD 20706-4342 Ph: (301) 429-6100 |
NPI Number | 1427387901 |
---|---|
Provider Enumeration Date | 12/14/2009 |
Last Update Date | 12/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427387901 | NPI | - | NPPES |
415169101 | Medicaid | MD | |
415169100 | Medicaid | MD | |
415169102 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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