| NPI | 1689270142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MCDONNIEAL Director Of Operations 601-425-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-04-13 |