| NPI | 1558908780 |
|---|---|
| Doing Business As | KIDSPIRATION BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOLENE SHOCKEY Billing Manager 870-424-4021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |