| NPI | 1790087393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG W. BYRD President 601-366-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MS 15999) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2011-03-30 |