| NPI | 1477869055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSE TRACY President 228-762-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS ms08472) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |