Organization
AFFILIATED SANTE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED CHANTEAU (CEO)
(301) 572-6585
Entity
Organization
Contact information
Practice address
7610 PENNSYLVANIA AVE, SUITE 203, FORESTVILLE, MD 20747-4701
(301) 420-1972
Mailing address
12200 TECH RD STE 330, SILVER SPRING, MD 20904-1913
(301) 787-5692
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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