| NPI | 1386708188 |
|---|---|
| Doing Business As | ST. DOMINIC PSYCHIATRIC ASSOCIATES |
| Doing Business As | BEHAVIORAL HEALTH ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANIELLE STUART Credentialing Specialist 601-200-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-08-11 |