| NPI | 1497984769 |
|---|---|
| Doing Business As | YOURTOWN HEALTH |
| Entity Type | Organization |
| Authorized Contact | JON W WOLLENZIEN CEO 404-929-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: GA H800040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA H800040) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-05-10 |