Organization Name: | HOLLOWAY PSYCHIATRIC SERVICES, INC. |
NPI Number: | 1578709713 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER L HAMMOND (OFFICE MANAGER) |
Mailing Address: | 742d Magnolia St Madison |
State: | MS US |
Postal Code: | 391108903 |
Phone Number: | 6016075107 |
Fax Number: | 6016075109 |
NPI Enumeration Date: | 12/17/2008 |
NPI Last Update Date: | 12/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 16327 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |