| NPI | 1407026578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TRACY MOORE Psychiatrist 386-254-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME0049696) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2011-07-19 |