| NPI | 1063858439 |
|---|---|
| Other Name | LAUREL LANE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO Director Of Revenue Cycle 404-364-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-09-22 |