OrganizationActive
Affect Provider Group, P.s.c.
NPI 1962204644 · Substance Use Disorder Rehabilitation Clinic/Center · Germantown, MD
Provider details
- NPI number
- 1962204644
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karla Mullings, Dir. of Compliance(845) 768-8758
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
12410 Milestone Center Dr Ofc 670
Germantown, MD 20876-7101
Phone: (951) 691-9101
Approximate (ZIP-level) locationGet directions
Mailing address
1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627
Other names (DBA / former)
- Other name
- Affect Provider Group
- Other name
- Affect Provider Group
Registry dates
- Enumerated
- 2025-03-25
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.