CLAYTON CENTER MHADDD NPI 1235646217

NPI Information

  • NPI: 1235646217
  • Provider Name: CLAYTON CENTER MHADDD
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: CLAYTON CENTER CSB
  • Address: 5930 HIGHWAY 85 UNIT 401
    RIVERDALE, GA
    ZIP 30274
  • Phone: (770) 997-8137

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NPI Details

CLAYTON CENTER MHADDD is a community based residential treatment facility mental illness in Riverdale, GA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CLAYTON CENTER MHADDD NPI is 1235646217. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Center Csb.

The provider's business location address is:

5930 HIGHWAY 85 UNIT 401
RIVERDALE, GA
ZIP 30274-502
Phone: (770) 997-8137

The provider's authorized official is Tiffany Tom-johnson .
The authorized official title is Coo and has the following contact phone number (770) 478-2280.

The enumeration date for this NPI number is 12/29/2017 and was last updated on 12/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

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This page was last updated on: 11/21/2025

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