| NPI | 1659328151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAYSON NORQUIST Managing Member 601-984-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 103T00000X Psychologist | |
| 103G00000X Clinical Neuropsychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |