CLAYTON MHDDAD NPI 1386890341

NPI Information

NPI: 1386890341
Provider Name: CLAYTON MHDDAD
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Doing Business As: CLAYTON CENTER CSB
Address: 6944 FIELDER RD
REX, GA
ZIP 30273
Phone: (770) 478-2280

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NPI Details

CLAYTON MHDDAD is a day training developmentally disabled services in Rex, GA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. CLAYTON MHDDAD NPI is 1386890341. 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:

6944 FIELDER RD
REX, GA
ZIP 30273-414
Phone: (770) 478-2280
Fax: (770) 477-9772

The provider's authorized official is Jade Benefield .
The authorized official title is Executive Director and has the following contact phone number (770) 478-2280.

The enumeration date for this NPI number is 8/11/2008 and was last updated on 8/11/2008.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QD1600X	Clinic/Center	Developmental Disabilities	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	251C00000X	Day Training, Developmentally Disabled Services		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GRP2322	MEDICARE PIN
2	000606922AG	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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