Organization
ALEK'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLA DAVIS (OWNER)
(301) 731-0383
Entity
Organization
Contact information
Practice address
7930 CRYDEN WAY, SUITE 100, DISTRICT HEIGHTS, MD 20747-4530
(301) 420-7772
(301) 420-7797
Mailing address
4200 FORBES BLVD, SUITE 122, LANHAM, MD 20706-4342
(301) 731-0383
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
12/03/2009
Last updated
12/04/2009
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