NPI | 1205023835 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
103TC0700X Psychologist Clinical | |
Enumeration Date | 2007-09-27 |
Last Update Date | 2022-12-30 |