Organization Name: | B.C. DAVIS INC. |
NPI Number: | 1306173828 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL ANNE DAVIS (OWNER OPERATOR) |
Mailing Address: | 30040 Grandview Inkster |
State: | MI US |
Postal Code: | 48141 |
Phone Number: | 7347225056 |
Fax Number: | 7347270903 |
NPI Enumeration Date: | 11/04/2009 |
NPI Last Update Date: | 11/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | AS8202283668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |