NPI | 1538356282 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 250092) |
103T00000X Psychologist | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2007-09-26 |
Last Update Date | 2022-12-30 |