| NPI | 1225451776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJAZ RASUL President 601-622-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2012-01584) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-06-08 |