| NPI | 1982803128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PLUNKETT Owner 662-227-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 13906) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-08-06 |