| Affiliated Sante Group | |
|
7610 Pennsylvania Ave Suite 203 Forestville MD 20747-4701 | |
| (301) 420-1972 | |
| Not Available |
| Full Name | Affiliated Sante Group |
|---|---|
| Speciality | Counselor |
| Location | 7610 Pennsylvania Ave, Forestville, Maryland |
| Authorized Official Name and Position | Fred Chanteau (CEO) |
| Authorized Official Contact | 3015726585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Sante Group 12200 Tech Rd Ste 330 Silver Spring MD 20904-1913 Ph: (301) 787-5692 | Affiliated Sante Group 7610 Pennsylvania Ave Suite 203 Forestville MD 20747-4701 Ph: (301) 420-1972 |
| NPI Number | 1588045959 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588045959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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