Pediatric Specialty Care
NPI #1831220334 in Arkadelphia, Arkansas
Provider Information
- NPI Number
- 1831220334
- Entity Type
- Organization
- Organization Name
- Pediatric Specialty Care
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2410 PINE ST
- City
- Arkadelphia
- State
- Arkansas
- ZIP Code
- 71923-4335
- Phone
- (870) 245-2210
Authorized Official
- Name
- MR. LARRY LAMAR GRANT, LPC
- Title
- MENTAL HEALTH PROFESSIONAL
- Phone
- (870) 245-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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