Organization
AFFILIATED SANTE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED CHANTEAU (CEO)
(301) 572-6585
Entity
Organization
Contact information
Practice address
4355 NICOLE DR, LANHAM, MD 20706-4349
(301) 429-2171
Mailing address
12200 TECH RD, SUITE 330, SILVER SPRING, MD 20904-1983
(301) 787-5692
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422027700
—
MD
Enumeration date
12/12/2013
Last updated
02/10/2020
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