Organization
ASCENT ACQUISITIONS CORP-CYPDC
Active
Other names
CHILD & YOUTH DEVELOPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A ALLGOOD (INS BILLING REP)
(870) 819-0232
Entity
Organization
Contact information
Practice address
800 S CHURCH ST, STE. 201, JONESBORO, AR 72401-4176
(870) 935-9911
(870) 935-3450
Mailing address
3012 TURMAN DR, JONESBORO, AR 72404-8998
(870) 819-0200
(870) 819-0217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160746742
—
AR
05
—
160785526
—
AR
01
—
57885
ARKANSAS BCBS
AR
Enumeration date
01/23/2007
Last updated
02/29/2012
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