Organization
BUILDING TO LIFE INC.
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/IJJDP/ICCJP (PRORAM DIRECTOR)
(215) 281-8458
Entity
Organization
Contact information
Practice address
4728 OXFORD AVE, PHILADELPHIA, PA 19124-5835
(215) 391-8921
Mailing address
7419 BARCLAY RD, CHELTENHAM, PA 19012-1302
(215) 281-8458
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
30054
PA
251S00000X
Community/Behavioral Health Agency
30054
PA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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