| NPI | 1699090001 |
|---|---|
| Other Name | PSYCAMORE PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | KATHERINE A HALL Business Manager 601-939-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS DCS-Psycamore-PHA/OP) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |