| NPI | 1669744314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TRIHOULIS Member 601-336-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 19631) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |