| NPI | 1073948030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA GAGANIS Revenue Manager 404-567-8354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-01-14 |