Individual provider · Type 1 NPI
Gladys Kyrima Davis
Community/Behavioral Health Agency · Loganville, GA
Practice location
1392 Preserve Park Dr
Loganville, GA 30052-5828
Mailing address
910 Athens Hwy Ste K312
Loganville, GA 30052-4952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Nurse's Aide | 376K00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
About NPI 1821592478
Gladys Kyrima Davis's National Provider Identifier is 1821592478, issued on Mar 20, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Loganville, GA. The record was last updated on Dec 4, 2019.