| NPI | 1639202716 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | HOLLY ALLGOOD Billing Specialist 870-935-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |