| NPI | 1851965552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE MILLER Psychiatric Nurse Practitioner 662-736-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |