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Organization
SAME
Active
Organization
SAME
Active
Parent organization
NONE
Other names
ASSOCIATION OF PSYCHOLOGICAL AND PSYCHIATRIC SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
DR. NICOLAS NGUH SANTO PSYD, MSC (PSYCHOLOGIST & SOCIAL WORKER)
(442) 347-7045
Entity
Organization
Contact information
Practice address
65 WOODS EDGE RD UNIT 6, FORT ASHBY, WV 26719-9292
(442) 347-7045
Mailing address
65 WOODS EDGE RD UNIT 6, FORT ASHBY, WV 26719-9292
(442) 347-7045
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RG092015619
—
WV
Enumeration date
04/08/2021
Last updated
04/08/2021
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