| NPI | 1619145729 |
|---|---|
| Former Name | CHRISTOPHER S DAVIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2023-10-20 |