Organization
ASCENT ACQUISITIONS CORP-CYPDC
Active
Other names
CHILD & YOUTH PEDIATRIC DAY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ALLGOOD (BILLING SPECIALIST)
(870) 935-0260
Entity
Organization
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
(870) 240-8505
Mailing address
1201 S GEE ST, JONESBORO, AR 72401-3842
(870) 935-0260
(870) 935-0450
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C363
BCBS
AR
Enumeration date
03/13/2007
Last updated
09/11/2025
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