| NPI | 1780997460 |
|---|---|
| Doing Business As | WALTER DAVIS |
| Entity Type | Organization |
| Authorized Contact | WALTER E DAVIS Proram Director 215-281-8458 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: PA 30054) |
| Additional Taxonomies | 251S00000X (Licence: PA 30054) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |