Provider Demographics
NPI:1750555785
Name:WOMEN KIDS & TEENS AFTERHOURS LLC
Entity type:Organization
Organization Name:WOMEN KIDS & TEENS AFTERHOURS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:I
Authorized Official - Last Name:ANADU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-489-1400
Mailing Address - Street 1:7500 HANOVER PKWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2010
Mailing Address - Country:US
Mailing Address - Phone:301-489-1400
Mailing Address - Fax:301-489-1405
Practice Address - Street 1:9801 GEORGIA AVE STE 224
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-592-0050
Practice Address - Fax:301-592-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care