| NPI | 1629378971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W BYRD Owner 601-366-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TP0016X Psychologist Prescribing (Medical) (Licence: MS 15999) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2025-06-19 |