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Tanya L Davis
Mental Illness Community Based Residential Treatment Facility in Indianapolis, Indiana
NPI 1699545301

Tanya L Davis is a Mental Illness Community Based Residential Treatment Facility based in Indianapolis, IN. Tanya L Davis practices in Indianapolis, IN. The NPI Number for Tanya L Davis is 1699545301 and holds a License No. (Indiana).

The current practice location address for Tanya L Davis is 9105 E 56Th St Ste 300, Indianapolis, IN and can be reached out via phone at 317-222-9888.

Location: 9105 E 56Th St Ste 300, Indianapolis, IN, 46216-2248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699545301
Provider Name
Tanya L Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
9105 E 56Th St Ste 300, Indianapolis, IN, 46216-2248
Phone Number
317-222-9888
Fax Number
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9105 E 56Th St Ste 300
City
Indianapolis
State
Indiana
Zip
46216-2248
Phone Number
317-222-9888
Fax Number
person
Provider Business Mailing Address Details
Address
9105 E 56Th St Ste 300
City
Indianapolis
State
Indiana
Zip
46216-2248
Phone Number
317-222-9888
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Illinois)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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