| NPI | 1740460708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARO CEO/President 414-466-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 1876) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 1876) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |