| Organization Name: | PSYCHOLOGICAL SERVICES CENTER, PLC |
| NPI Number: | 1043389901 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD PATRICK MOSS (PARTNER) |
| Mailing Address: | 84 Seaway Drive Muskegon |
| State: | MI US |
| Postal Code: | 49444 |
| Phone Number: | 6164031571 |
| Fax Number: | 6168424190 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 08/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |