NPI 1013413525
Ricky Davis, QMHSB
Practice location
- Address
- 13101 Allen Rd, Southgate, MI 48195-2216
- Phone
- (734) 785-7700
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013413525
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Apr 2018
- Record last updated
- 25 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.