| NPI | 1932543964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK JORENBY Licensed Psychologist/Owner 952-226-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3631) |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2013-04-21 |