NPI 1790818334 · live from the CMS NPI Registry
Ascent Acquisitions Corp-Cypdc
Day Training, Developmentally Disabled Services in Trumann, AR. National Provider Identifier 1790818334, active.
NPI record
| NPI | 1790818334 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Day Training, Developmentally Disabled Services 251C00000X |
| Practice location | 1005 Balcom Ln, Trumann, AR 72472 |
| Practice phone | 870-483-1461 |
| Mailing address | 3012 Turman Dr, Jonesboro, AR 72404 |
| Enumerated | March 13, 2007 |
| Last updated | April 12, 2012 |
| Authorized official | Holly Allgood, Billing Specialist |
| Other names | Child & Youth Pediatric Day Clinic |
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.