NPI | 1770064842 |
---|---|
Doing Business As | HIGHER GROUND PSYCHOLOGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | THEA OCULATO SILVA DE SOUZA Owner 917-589-5372 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 5306) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-01-11 |