| NPI | 1447357140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Secretary, Treasurer 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801021651) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2022-12-30 |