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Christian Davis, Phd, Llc
Adolescent and Children Mental Health Clinic/Center in Englewood, New Jersey
NPI 1104385327

Christian Davis, Phd, Llc is an Adolescent and Children Mental Health Clinic/Center based in Englewood, NJ and is specialized in Adolescent and Children Mental Health. Christian Davis, Phd, Llc practices in Englewood, NJ. The NPI Number for Christian Davis, Phd, Llc is 1104385327 and holds a License No. (New Jersey).

The current practice location address for Christian Davis, Phd, Llc is 174 Grand Ave, Englewood, NJ and can be reached out via phone at 201-523-5499.

Location: 174 Grand Ave, Englewood, NJ, 07631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104385327
Provider Name
Christian Davis, Phd, Llc
Credential
Provider Entity Type
Organization
Address
174 Grand Ave, Englewood, NJ, 07631
Phone Number
201-523-5499
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
174 Grand Ave
City
Englewood
State
New Jersey
Zip
07631
Phone Number
201-523-5499
Fax Number
person
Provider Business Mailing Address Details
Address
174 Grand Ave
City
Englewood
State
New Jersey
Zip
07631
Phone Number
201-523-5499
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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