Individual
TANYA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9105 E 56TH ST STE 300, INDIANAPOLIS, IN 46216-2248
(317) 222-9888
Mailing address
9105 E 56TH ST STE 300, INDIANAPOLIS, IN 46216-2248
(317) 222-9888
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
01/03/2024
Last updated
01/23/2024
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