| NPI | 1609908037 |
|---|---|
| Other Name | FAYETTEVILLE |
| 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 | 2007-03-12 |
| Last Update Date | 2015-09-19 |