| NPI | 1952967234 |
|---|---|
| Doing Business As | YOURTOWNHEALTH |
| Entity Type | Organization |
| Authorized Contact | JON W WOLLENZIEN CEO 404-929-8824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |