| NPI | 1033381348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE E ROSS President 228-896-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 09562) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2014-08-29 |