| NPI | 1790990224 |
|---|---|
| Other Name | ERIC SAMUEL DAVIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 7843) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-04-26) |
| 1041C0700X Social Worker, Clinical (Licence: OR A4913) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-09-09 |