| NPI | 1073717302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM FARINA Owner 601-246-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 11664) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |