NPI 1427591494

Mia Davis

Practitioner Mental Illness Community Based Residential Treatment Facility Houston, TX

Practice location

Address: 5903 Grace Ln, Houston, TX 77021-3424
Phone: (713) 307-0208

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Texas →

Registry record

NPI: 1427591494
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2016
Record last updated: 23 Nov 2016

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.