| NPI | 1821894627 |
|---|---|
| Other Name | CONSTANCE NICHOLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca191619) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-05-06 |