| Alek's House Llc | |
|
7930 Cryden Way Suite 100 District Heights MD 20747-4530 | |
| (301) 420-7772 | |
| (301) 420-7797 |
| Full Name | Alek's House Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7930 Cryden Way, District Heights, 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 7930 Cryden Way Suite 100 District Heights MD 20747-4530 Ph: (301) 420-7772 |
| NPI Number | 1861720724 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 12/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861720724 | NPI | - | NPPES |
| 415169100 | Medicaid | MD | |
| 415169101 | 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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