Organization
ELEVATE PSYCHOLOGICAL GROUP INC
Active
Other names
Elevate Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD SACK PHD (OWNER)
(805) 244-6919
Entity
Organization
Contact information
Practice address
80 WOOD RD STE 306, CAMARILLO, CA 93010-8312
(805) 244-6919
Mailing address
80 WOOD RD STE 306, CAMARILLO, CA 93010-8312
(805) 244-6919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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