| NPI | 1790087393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W. BYRD Owner 601-366-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2025-06-19 |