Mia Davis

NPI #1427591494 in Houston, Texas

Provider Information

NPI Number: 1427591494
Entity Type: Individual
Name: Mia Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Nov 23, 2016
Last Updated: Nov 23, 2016

Practice Location

Address: 5903 GRACE LN
City: Houston
State: Texas
ZIP Code: 77021-3424
Phone: (713) 307-0208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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