| NPI | 1922109578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RICHELSON President, Secretary, Treasurer 904-605-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-02-07 |