| 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 Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2025-02-11 |