| NPI | 1568583524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL ARTURO LEIS Owner 601-981-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 13667) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |