| NPI | 1043022189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO SVP Financial Services 770-630-7290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |