| NPI | 1033227269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-12-30 |