Same
NPI #1992385678 in Fort Ashby, West Virginia
Provider Information
- NPI Number
- 1992385678
- Entity Type
- Organization
- Organization Name
- Same
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NONE
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Apr 8, 2021
- Last Updated
- Apr 8, 2021
Practice Location
- Address
- 65 WOODS EDGE RD UNIT 6
- City
- Fort Ashby
- State
- West Virginia
- ZIP Code
- 26719-9292
- Phone
- (442) 347-7045
Authorized Official
- Name
- DR. NICOLAS NGUH SANTO, PSYD, MSC
- Title
- PSYCHOLOGIST & SOCIAL WORKER
- Phone
- (442) 347-7045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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