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Organization
SAMARITAN COUNSELING CENTER OF THE FOX VALLEY, INC.
Active
Organization
SAMARITAN COUNSELING CENTER OF THE FOX VALLEY, INC.
Active
Other names
Fox Valley Pastoral Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY EICHHORST (FINANCE & ADMINISTRATION DIRECTOR)
(920) 886-9319
Entity
Organization
Contact information
Practice address
1205 PROVINCE TER, MENASHA, WI 54952-7017
(920) 886-9319
(920) 486-5340
Mailing address
1205 PROVINCE TER, MENASHA, WI 54952-7017
(920) 886-9319
(920) 486-5340
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1355
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42181900
—
WI
Enumeration date
08/01/2006
Last updated
02/08/2023
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