NPI 1104282235

Cedric Mayo

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Little Rock, AR

Practice location

Address: 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323
Phone: (501) 821-5500

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1104282235
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2016
Record last updated: 5 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.