| NPI | 1134650559 |
|---|---|
| Other Name | CALDWELL FBC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO VP Of Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |