Clayton Center Csb

LBN: Clayton Mhddad
Clayton Center Csb is an health care organization with primary practice located at 217 Stockbridge Rd , Jonesboro GA 30236-3628. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Social Worker, 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, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Clayton Mhddad can be contacted via phone (770) 478-2280, or through Cole, Terry via phone (770) 478-2280.

Contact Information

Primary practice address
217 Stockbridge Rd Jonesboro GA 30236-3628
Fax: (770) 477-9772
Website:
Authorized official contact:
Name: Cole, Terry

Profile Details

NPI number 1477719722
LBN Legal business name Clayton Mhddad
DBA Doing business as Clayton Center Csb
Authorized official Cole, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2008
Last updated Nov 15th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477719722 NPPES
Georgia MEDICAID 000604205D

Popular Providers