Organization
BUILDING TO LIFE
Active
Parent organization
WALTER DAVIS
Other names
Walter Davis
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALTER DAVIS
Authorized official
WALTER E DAVIS BS/ICCJP/ICCDP (PROGRAM DIRECTOR)
(215) 281-8458
Entity
Organization
Contact information
Practice address
7419 BARCLAY RD, CHELTENHAM, PA 19012-1302
(215) 281-8458
Mailing address
PO BOX 6335, PHILADELPHIA, PA 19139-6335
(215) 281-8458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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