Provider Demographics
NPI:1629289962
Name:MARRIAGE & FAMILY TREATMENT CENTER
Entity Type:Organization
Organization Name:MARRIAGE & FAMILY TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REMLING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:719-520-1711
Mailing Address - Street 1:218 E CACHE LA POUDRE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2903
Mailing Address - Country:US
Mailing Address - Phone:719-520-1711
Mailing Address - Fax:719-520-0236
Practice Address - Street 1:218 E CACHE LA POUDRE ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2903
Practice Address - Country:US
Practice Address - Phone:719-520-1711
Practice Address - Fax:719-520-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty