Organization
MACHT VILLAGE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MACHT (PRESIDENT)
(920) 469-9646
Entity
Organization
Contact information
Practice address
3310 MID VALLEY DR, DE PERE, WI 54115-9495
(920) 469-9646
Mailing address
3310 MID VALLEY DR, DE PERE, WI 54115-9495
(920) 469-9646
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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