| NPI | 1790585933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA NEWSOME Psychiatric Nurse Practitioner 601-813-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |