Clayton Center Csb

LBN: Clayton Mhddad
Clayton Center Csb is an health care organization with primary practice located at 6278 Holiday Blvd , Forest Park GA 30297-4262. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Clayton Mhddad can be contacted via phone (770) 478-2280, or through Benefield, Jade via phone (770) 478-2280.

Contact Information

Primary practice address
6278 Holiday Blvd Forest Park GA 30297-4262
Phone: (770) 478-2280
Fax: (770) 477-9772
Website:
Map and Directions
Authorized official contact:
Name: Benefield, Jade
Phone: (770) 478-2280

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1427204775
LBN Legal business name Clayton Mhddad
DBA Doing business as Clayton Center Csb
Authorized official Benefield, Jade
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2008
Last updated Aug 18th, 2008 - about 16 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 1427204775 NPPES
Georgia MEDICAID 000606922AN

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