Individual provider · Type 1 NPI
William Pierre Davis
Emotionally Disturbed Childrens' Residential Treatment Facility · Shreveport, LA
Practice location
2657 Vivian St
Shreveport, LA 71108-2742
Mailing address
100 Carondelet Dr
Shreveport, LA 71109-3917
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1497587802
William Pierre Davis's National Provider Identifier is 1497587802, issued on Aug 14, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Shreveport, LA. The record was last updated on Aug 14, 2024.