Provider Demographics
NPI:1689191595
Name:MCGREW BEHAVIORAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MCGREW BEHAVIORAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGREW
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA-D; LMTF; LPCC
Authorized Official - Phone:707-246-7920
Mailing Address - Street 1:229 NEWBURY WAY
Mailing Address - Street 2:
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-4228
Mailing Address - Country:US
Mailing Address - Phone:707-246-7920
Mailing Address - Fax:707-648-0393
Practice Address - Street 1:120 THERESA AVE
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-9654
Practice Address - Country:US
Practice Address - Phone:707-246-7920
Practice Address - Fax:707-649-0393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty