NPI | 1386009058 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE KOEPPEL Ma Lcsw Lfm 561-499-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw8208) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-25 |