NPI | 1821731647 |
---|---|
Doing Business As | CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PC |
Entity Type | Organization |
Authorized Contact | NICOLE MCGRUDER Practice Manager 269-372-4140 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist | |
104100000X Social Worker | |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-04-19 |