Organization
REACH FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAYONA JANEE DAVIS MSW (COUNSELOR)
(317) 920-5900
Entity
Organization
Contact information
Practice address
3505 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3718
(317) 920-5900
(317) 920-5911
Mailing address
3505 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3718
(317) 920-5900
(317) 920-5911
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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