IndividualActive
William Davis
NPI 1497587802 · Emotionally Disturbed Childrens' Residential Treatment Facility · Shreveport, LA
Provider details
- NPI number
- 1497587802
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
100 Carondelet Dr
Shreveport, LA 71109-3917
Registry dates
- Enumerated
- 2024-08-14
- Last updated
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.