Organization
LOUISE DAVIS SUPPORT SERVICES INDUSTRY, INC.
Active
Organization
LOUISE DAVIS SUPPORT SERVICES INDUSTRY, INC.
Active
Other names
LOUISE DAVIS SUPPORT SERVICES INDUSTRY,
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKILLA WILLIAMS (EXECUTIVE DIRECTOR)
(334) 357-9968
Entity
Organization
Contact information
Practice address
832 MCCASKILL RD, DICKINSON, AL 36436-3643
(334) 357-9968
Mailing address
PO BOX 296, FULTON, AL 36446-0296
(334) 357-9968
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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