| Macht Village Programs | |
|
3310 Mid Valley Dr De Pere WI 54115-9495 | |
| (920) 469-9646 | |
| Not Available |
| Full Name | Macht Village Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3310 Mid Valley Dr, De Pere, Wisconsin |
| Authorized Official Name and Position | Mary Macht (PRESIDENT) |
| Authorized Official Contact | 9204699646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macht Village Programs 3310 Mid Valley Dr De Pere WI 54115-9495 Ph: (920) 469-9646 | Macht Village Programs 3310 Mid Valley Dr De Pere WI 54115-9495 Ph: (920) 469-9646 |
| NPI Number | 1245697861 |
|---|---|
| Provider Enumeration Date | 01/27/2016 |
| Last Update Date | 01/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245697861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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