IndividualActive
Lassana Davis
NPI 1609633239 · Emotionally Disturbed Childrens' Residential Treatment Facility · Pleasantville, NY
Provider details
- NPI number
- 1609633239
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1075 Broadway
Pleasantville, NY 10570-2346
Registry dates
- Enumerated
- 2024-02-29
- Last updated
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.