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)
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223799
MHN/TRICARE INSURANCE COMPANY
WI
05
—
42121000
—
WI
Enumeration date
05/09/2008
Last updated
08/12/2024
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