Healthcare Provider Details

I. General information

NPI: 1457582264
Provider Name (Legal Business Name): MCGREW BEHAVIOR INTERVENTION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 COOMBSVILLE RD SILVERADO MIDDLE SCHOOL
NAPA CA
94558-3906
US

IV. Provider business mailing address

229 NEWBURY WAY
AMERICAN CANYON CA
94503-4228
US

V. Phone/Fax

Practice location:
  • Phone: 707-246-7920
  • Fax: 707-648-0393
Mailing address:
  • Phone: 707-246-7920
  • Fax: 707-648-0393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMFC30275
License Number StateCA

VIII. Authorized Official

Name: DR. DEBORAH MCGREW
Title or Position: ADMINISTRATIVE CLINICIAN
Credential: MFT, BCBA-D
Phone: 707-246-7920