NPI | 1578546263 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLIOTT RICHELSON President, Treasurer, Secretary 904-605-4986 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2022-12-30 |