| NPI | 1982737623 |
|---|---|
| Doing Business As | CHILD & YOUTH PEDIATRIC DAY CLINIC |
| Entity Type | Organization |
| Authorized Contact | HOLLY ALLGOOD Billing Specialist 870-935-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |