Provider Demographics
NPI:1104433135
Name:THE CHRISTEN GROUP, INC.
Entity type:Organization
Organization Name:THE CHRISTEN GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTEN ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-253-2081
Mailing Address - Street 1:16122 MCCONNELL DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3283
Mailing Address - Country:US
Mailing Address - Phone:202-253-2081
Mailing Address - Fax:202-800-9736
Practice Address - Street 1:16122 MCCONNELL DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3283
Practice Address - Country:US
Practice Address - Phone:202-253-2081
Practice Address - Fax:202-800-9736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization