| NPI | 1710175260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ELGIN WILKAITIS President 601-420-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |