Organization · NPI-2
Affiliated Sante Group
Clinic/Center, Mental Health (Including Community Mental Health Center) · Silver Spring, MD
NPI number1083720569
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1083720569
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Sante Group
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1400 Spring St Ste 100Silver Spring, MD 20910-2751
Phone 301-589-2303 · Fax 301-585-2965
Mailing address
12200 Tech Rd Ste 330Silver Spring, MD 20904-1913
Phone 301-572-6585
Authorized official
Steven Sahm
Billing Manager
3015726585
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