Individual provider · Type 1 NPI

Cedric Mayo

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

NPI number 1104282235 Active

Practice location

20400 Colonel Glenn Rd
Little Rock, AR 72210-5323

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1104282235

Cedric Mayo's National Provider Identifier is 1104282235, issued on Jan 5, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Little Rock, AR. The record was last updated on Jan 5, 2016.