| NPI | 1679608913 |
|---|---|
| Other Name | CRYSTAL COAST THERAPY SVCS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER D LOZANO VP Financial Services 404-968-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-07-24 |