Organization
AFFILIATED SANTE GROUP
Active
Other names
BALTIMORE COUNTY CRS MENTAL HEALTH CASE MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CHANTEAU (CEO)
(301) 572-6585
Entity
Organization
Contact information
Practice address
1205 YORK RD, SUITE 29, TIMONIUM, MD 21093-6210
(301) 572-6585
Mailing address
12120 PLUM ORCHARD DR, SUITE E, SILVER SPRING, MD 20904-7820
(301) 572-6585
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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