Provider Demographics
NPI:1053843417
Name:MARRIAGE AND FAMILY RESOURCE CENTER
Entity Type:Organization
Organization Name:MARRIAGE AND FAMILY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KULBIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RANGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-497-0574
Mailing Address - Street 1:94 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2206
Mailing Address - Country:US
Mailing Address - Phone:215-497-0574
Mailing Address - Fax:
Practice Address - Street 1:94 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2206
Practice Address - Country:US
Practice Address - Phone:215-497-0574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003410L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty