Clayton Csb
LBN: Clayton Center Mhaddd
Clayton Csb is an health care organization with primary practice located at 1396 Southlake Plaza Drive , Morrow GA 30260-1756. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Clayton Center Mhaddd can be contacted via phone (770) 473-2640, or through Cheever, Aundria D via phone (770) 478-2280.
Contact Information
Primary practice address
1396 Southlake Plaza Drive
Morrow GA 30260-1756
Phone: (770) 473-2640
Fax: (770) 473-2601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Case Management | 251B00000X | Georgia | |
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | Georgia | |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Georgia | |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | Georgia |
Profile Details
| NPI number | 1033307731 |
|---|---|
| LBN Legal business name | Clayton Center Mhaddd |
| DBA Doing business as | Clayton Csb |
| Authorized official | Cheever, Aundria D PHD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Mar 9th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033307731 | NPPES |
| Georgia | MEDICAID | 000604205B | |
| Georgia | MEDICAID | 00604205R |
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