| NPI | 1588072763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A JORGENSON Owner/Therapist 269-615-8639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 1538351150) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |