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Organization

AGLOW RECOVERY HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERNIBA GHONEIM (CEO)
(301) 569-2502
Entity
Organization

Contact information

Practice address
1647 BENNING RD NE STE 300A, WASHINGTON, DC 20002-4572
(202) 621-8713
Mailing address
1647 BENNING RD NE STE 300A, WASHINGTON, DC 20002-4572

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
09/10/2025
Last updated
09/10/2025
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