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Organization

ALEK'S HOUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOLA DAVIS (OWNER)
(301) 731-0383
Entity
Organization

Contact information

Practice address
4200 FORBES BLVD, SUITE 122, LANHAM, MD 20706-4342
(301) 429-6100
(301) 429-1333
Mailing address
4200 FORBES BLVD, SUITE 122, LANHAM, MD 20706-4342
(301) 731-0383
(301) 731-2835

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
415169100
MD
05
415169101
MD
05
415169102
MD
Enumeration date
12/14/2009
Last updated
12/16/2009
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