NPI 1124151220 · live from the CMS NPI Registry
Ascent Acquisitions Corp-Psc
Day Training, Developmentally Disabled Services in Blytheville, AR. National Provider Identifier 1124151220, active.
NPI record
| NPI | 1124151220 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Day Training, Developmentally Disabled Services 251C00000X |
| Practice location | 1510 Byrum Rd, Blytheville, AR 72315 |
| Practice phone | 870-532-2600 |
| Mailing address | 3012 Turman Dr, Jonesboro, AR 72404 |
| Enumerated | March 14, 2007 |
| Last updated | April 12, 2012 |
| Authorized official | Holly Allgood, Billing Specialist |
| Other names | Pediatric Specialty Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Day Training, Developmentally Disabled Services primary | 251C00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.