NPI | 1518411529 |
---|---|
Doing Business As | CHILDREN'S PSYCHIATRIC SOLUTIONS |
Entity Type | Organization |
Authorized Contact | JOHN ELGIN WILKAITIS Owner 601-829-4170 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 901668) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2024-07-23 |