| NPI | 1184862708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A KWENTUS Owner 601-420-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MS 17834) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |