HASSAN I DAVIS

LEMON GROVE, CA
NPI1730311580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-08-12
Last Update Date2009-08-12
Business Address
Mr. HASSAN I DAVIS M.S.
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Mailing Address
Mr. HASSAN I DAVIS M.S.
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303