| NPI | 1871749200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HOWARD DAY General Manager 662-510-3986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MS 31-465) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P0000001384) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-11-26 |