| NPI | 1548474042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A. ROBERSON Owner 601-951-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 15474) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-09-06 |