| NPI | 1851630180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGALYS KOCH Owner/ Practioner 772-249-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9799) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-03-27 |