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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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