| NPI | 1104520840 |
|---|---|
| Doing Business As | HARBOR SHORE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOHN ROCHA Psychotherapist 262-358-3592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |