Clayton Center Csb

LBN: Clayton Community Mental Health Substance Abuse Deve Svcs Board
Clayton Center Csb is an health care organization with primary practice located at 157 Smith St , Jonesboro GA 30236-3546. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Clayton Community Mental Health Substance Abuse Deve Svcs Board can be contacted via phone (770) 478-2280, or through Cheever, Aundria via phone (770) 478-2280.

Contact Information

Primary practice address
157 Smith St Jonesboro GA 30236-3546
Phone: (770) 478-2280
Fax: (770) 477-9772
Website:
Map and Directions
Authorized official contact:
Name: Cheever, Aundria
Phone: (770) 478-2280

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1518932078
LBN Legal business name Clayton Community Mental Health Substance Abuse Deve Svcs Board
DBA Doing business as Clayton Center Csb
Authorized official Cheever, Aundria
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2006
Last updated Jun 4th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518932078 NPPES
Georgia MEDICAID 00606922AB

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