SearchLouisianaEmotionally Disturbed Childrens' Residential Treatment Facility

William Davis

NPI 1497587802 · on the registry since 2024 · sole proprietor

Practice

Address
2657 Vivian St
Shreveport, LA 71108
Phone
(318) 658-0227
Organisation at this address
A-1 In Home Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X
Also registered as
Mental Illness Community Based Residential Treatment Facility
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana