| NPI | 1811215213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL A. WASHINGTON Proprietor 602-910-5653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-12066) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2011-12-07 |