NPI | 1780281634 |
---|---|
Doing Business As | ANDREA J DAVIS |
Entity Type | Organization |
Authorized Contact | ANDREA JO'LEA DAVIS Owner 419-376-9377 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YP2500X Counselor, Professional |
251B00000X Case Management | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2020-10-05 |
Last Update Date | 2023-09-06 |