| 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 |