| Ascend Polywellness Center, Llc | |
|
7630 Little River Tpke Ste 305 Annandale VA 22003-2610 | |
| (678) 507-4370 | |
| Not Available |
| Full Name | Ascend Polywellness Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7630 Little River Tpke Ste 305, Annandale, Virginia |
| Authorized Official Name and Position | Anong Clement Ncho (CEO) |
| Authorized Official Contact | 6785074370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Polywellness Center, Llc 3721 Camelot Dr Annandale VA 22003-1306 Ph: (678) 507-4370 | Ascend Polywellness Center, Llc 7630 Little River Tpke Ste 305 Annandale VA 22003-2610 Ph: (678) 507-4370 |
| NPI Number | 1295545226 |
|---|---|
| Provider Enumeration Date | 01/11/2025 |
| Last Update Date | 01/11/2025 |
| Certification Date | 01/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295545226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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