| NPI | 1144327420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELE A THIEL President 601-939-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 12161) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-06 |