| NPI | 1740450279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Secretary, Treasurer 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 631112) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2022-12-30 |