| NPI | 1851857601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINNA MIL MAROTTA Professional Counselor, Owner 262-374-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2020-02-13 |