NPI | 1194991596 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
103TC1900X Psychologist, Counseling | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2022-12-30 |