| NPI | 1750460929 |
|---|---|
| Former Legal Business Name | MARRIAGE & FAMILY THERAPY CENTER, SC |
| Entity Type | Organization |
| Authorized Contact | KIM L SLAMP Office Manager 920-632-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2010-11-15 |