| NPI | 1033656889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD NELSON VP Physician Services 662-293-7618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2019-01-23 |