Clayton Center Holly Tree 101

LBN: Clayton Center
Clayton Center Holly Tree 101 is an health care organization with primary practice located at 5930 Highway 85 Unit 104 , Riverdale GA 30274-1502. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Clayton Center can be contacted via phone (770) 997-8137, or through Tom-Johnson, Tiffany via phone (770) 478-2280.

Contact Information

Primary practice address
5930 Highway 85 Unit 104 Riverdale GA 30274-1502
Phone: (770) 997-8137
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tom-Johnson, Tiffany
Phone: (770) 478-2280

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1760999643
LBN Legal business name Clayton Center
DBA Doing business as Clayton Center Holly Tree 101
Authorized official Tom-Johnson, Tiffany
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 2nd, 2018
Last updated Jun 16th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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