| NPI | 1902986482 |
|---|---|
| Doing Business As | CHILD AND FAMILY PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | NICOLE MCGRUDER Practice Manager 269-372-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TF0000X Psychologist Family | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-04-08 |