Aldon

NPI 1194085928 - Counselor - 101YM0800X

NPI Details
NPI 1194085928
Enumeration Date 05/27/2012
Last Updated 05/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PHYLLIS BRAXTON PHYLLIS
Position PRESIDENT, CLINICAL DIRECTOR
Phone (240) 667-4290
Fax (240) 539-0216
Practice Location
7105 PONY TRAIL LN
HYATTSVILLE MD, 20782-1031, US
Phone (240) 667-4290
Fax (240) 539-0216
Business Location
8955 EDMONSTON RD
SUITE E
GREENBELT MD, 20770-1006, US
Phone (240) 667-4290
Fax (240) 539-0216
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Aldon NPI is 1194085928, taxonomy code is 101YM0800X Aldon physically located at 7105 Pony Trail Ln, Hyattsville MD, 20782-1031. NPI Number 1033115704 has the healthcare provider type.

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1194085928 NPI number is provided on an as is basis without warranty of any kind. 1194085928 is maintained by the National Plan & Provider Enumeration System. The contents of Aldon are for informational purposes only.