| NPI | 1801078415 |
|---|---|
| Doing Business As | TCLC MS BEHAVIORAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY P RAY Psychologist 601-899-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |