| NPI | 1346274289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President 904-605-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001490) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-05-04 |