| NPI | 1689940264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. GONZALEZ Mental Health Therapist 202-455-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17007) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2014-06-02 |