| NPI | 1619123056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D RICHARDSON Owner/President 601-982-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |