| NPI | 1922679240 |
|---|---|
| Other Name | ROBERT OWEN DAVIS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OR 21-CRM-569) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-17-405) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2023-07-11 |