Clayton Csb
LBN: Clayton Community Mental Health Substance Ab
Clayton Csb is an health care organization with primary practice located at 853 Battlecreek Rd , Jonesboro GA 30236-1919. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Clayton Community Mental Health Substance Ab can be contacted via phone (770) 478-1099, or through Gant, Marketeia via phone (770) 605-1126.
Contact Information
Primary practice address
853 Battlecreek Rd
Jonesboro GA 30236-1919
Phone: (770) 478-1099
Fax: (770) 478-8722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | Georgia |
Profile Details
| NPI number | 1609024157 |
|---|---|
| LBN Legal business name | Clayton Community Mental Health Substance Ab |
| DBA Doing business as | Clayton Csb |
| Authorized official | Gant, Marketeia |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 8th, 2008 |
| Last updated | Mar 4th, 2011 - about 13 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 | 1609024157 | NPPES |
| Georgia | MEDICAID | 00604205E | |
| Georgia | Other | GRP2322 |
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