| Nelwlen Educational Services, Llc | |
|
9404 Shield Dr Upper Marlboro MD 20772-4335 | |
| (301) 559-1673 | |
| (301) 500-1208 |
| Full Name | Nelwlen Educational Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9404 Shield Dr, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Newton Clive Lennon (PRESIDENT/CEO) |
| Authorized Official Contact | 3015591673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelwlen Educational Services, Llc 9404 Shield Dr Upper Marlboro MD 20772-4335 Ph: (301) 559-1673 | Nelwlen Educational Services, Llc 9404 Shield Dr Upper Marlboro MD 20772-4335 Ph: (301) 559-1673 |
| NPI Number | 1386009603 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 12/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386009603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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