| NPI | 1356517627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President And Secretary 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-05-24 |