Affiliated Sante Group
Organization Active NPI Counselor · Forestville, MD
NPI 1588045959 · NPPES record last updated Jun 11, 2015
Key facts
- NPI
- 1588045959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- AFFILIATED SANTE GROUP
- Practice address
- 7610 Pennsylvania Ave
Suite 203
Forestville, MD 20747-4701 - Phone
- (301) 420-1972
- NPI assigned
- Jun 11, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Fred Chanteau
- Title
- Ceo
- Phone
- (301) 572-6585
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Asg
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes |
Addresses
Primary practice location
7610 Pennsylvania Ave
Suite 203
Forestville, MD 20747-4701
Mailing address
12200 Tech Rd Ste 330
Silver Spring, MD 20904-1913
Phone (301) 787-5692
Other providers in Forestville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.