| NPI | 1891136818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E WILKAITIS Owner 601-829-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2024-07-23 |