| NPI | 1205980497 |
|---|---|
| Doing Business As | CHILD & YOUTH DEVELOPMENT |
| Entity Type | Organization |
| Authorized Contact | HOLLY A ALLGOOD Ins Billing Rep 870-819-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-02-29 |