| NPI | 1801226568 |
|---|---|
| Doing Business As | KENYONA DAVIS |
| Entity Type | Organization |
| Authorized Contact | KENYONA N DAVIS Community Therapuetic Svc Provider 202-729-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2013-11-16 |