Organization
WASHINGTON HOUSE
Active
Parent organization
VO OF ARIZONA
Organization subpart
Yes
Provider details
NPI number
Legal business name
VO OF ARIZONA
Authorized official
ANGELO EDGE (CAO)
(602) 914-5859
Entity
Organization
Contact information
Practice address
1122 E WASHINGTON ST, PHOENIX, AZ 85034-1010
(602) 914-5857
Mailing address
1122 E WASHINGTON ST, PHOENIX, AZ 85034-1010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BH-1323
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535560
—
AZ
Enumeration date
04/16/2008
Last updated
04/16/2008
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