CHARLES EVERETT DAVIS

CANTON, OH
NPI1538648142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.165171)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
CHARLES EVERETT DAVIS
1930 FULTON RD NW STE 103
CANTON, OH 44709-3526
Phone number: 330-956-5936
Mailing Address
CHARLES EVERETT DAVIS
1930 FULTON RD NW STE 103
CANTON, OH 44709-3526
Phone number: 330-956-5936