| NPI | 1801670831 |
|---|---|
| Professional Name | JACQUELINE DENISE WASHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |