Clayton Csb
LBN: Clayton Mhddad
Clayton Csb is an health care organization with primary practice located at 217 Stockbridge Rd , Jonesboro GA 30236-3628. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Community 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 / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Clayton Mhddad can be contacted via phone (770) 471-4617, or through Benefield, Jade via phone (770) 478-2280.
Contact Information
Primary practice address
217 Stockbridge Rd
Jonesboro GA 30236-3628
Phone: (770) 471-4617
Fax: (770) 471-7817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| 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 | 1992984264 |
|---|---|
| LBN Legal business name | Clayton Mhddad |
| DBA Doing business as | Clayton Csb |
| Authorized official | Benefield, Jade |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 2nd, 2007 |
| Last updated | Jun 10th, 2008 - about 17 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 | 1992984264 | NPPES |
| Georgia | MEDICAID | 00607076D |
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