| NPI | 1578838264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON A JORGENSEN President 608-251-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 2522123) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |