| NPI | 1689383754 | 
|---|---|
| Doing Business As | MARRIAGE AND FAMILY THERAPY CENTER | 
| Entity Type | Organization | 
| Authorized Contact | BRYAN LINDBERG Provider/Owner 276-236-8888 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-11-17 | 
| Last Update Date | 2024-05-06 |