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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