Organization
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Active
Parent organization
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Authorized official
DR. THOMAS E JOHNSTON PHD (DIRECTOR/OWNER)
(715) 832-0238
Entity
Organization
Contact information
Practice address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Mailing address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223799
MHN/TRICARE INSURANCE CO.
WI
05
—
43001900
—
WI
Enumeration date
05/09/2008
Last updated
08/12/2024
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