| NPI | 1720277445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERA K COX Owner 228-696-9224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 19819) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2008-10-13 |