| Louise Davis Support Services Industry, Inc. | |
|
832 Mccaskill Rd Dickinson AL 36436-3643 | |
| (334) 357-9968 | |
| Not Available |
| Full Name | Louise Davis Support Services Industry, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 832 Mccaskill Rd, Dickinson, Alabama |
| Authorized Official Name and Position | Shakilla Williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3343579968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louise Davis Support Services Industry, Inc. Po Box 296 Fulton AL 36446-0296 Ph: (334) 357-9968 | Louise Davis Support Services Industry, Inc. 832 Mccaskill Rd Dickinson AL 36436-3643 Ph: (334) 357-9968 |
| NPI Number | 1033751029 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033751029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |