Provider Demographics
NPI:1780345108
Name:DAVIS THERAPEUTIC SOLUTIONS
Entity type:Organization
Organization Name:DAVIS THERAPEUTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-998-1551
Mailing Address - Street 1:15 CROSSBROOK PL
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3710
Mailing Address - Country:US
Mailing Address - Phone:732-887-0843
Mailing Address - Fax:908-248-0868
Practice Address - Street 1:5611 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5142
Practice Address - Country:US
Practice Address - Phone:732-887-0843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty