| NPI | 1093116253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX JASON MOODY President 919-929-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 32952) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |