CLAYTON CENTER COMMUNITY SERVICE BOARD NPI 1437451127

NPI Information

NPI: 1437451127
Provider Name: CLAYTON CENTER COMMUNITY SERVICE BOARD
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 11D1097750

Address:
853 BATTLECREEK RD
JONESBORO, GA
ZIP 30236
Phone: (770) 478-1099
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CLAYTON CENTER COMMUNITY SERVICE BOARD is an adult mental health clinic center in Jonesboro, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CLAYTON CENTER COMMUNITY SERVICE BOARD NPI is 1437451127. The provider is registered as an organization entity type.

The provider's business location address is:

853 BATTLECREEK RD
JONESBORO, GA
ZIP 30236-919
Phone: (770) 478-1099
Fax: (770) 478-8722

The provider's authorized official is Juliette Mcgaha .
The authorized official title is Staff Nurse and has the following contact phone number (770) 478-1099.

The CLIA number assigned to this NPI record is 11D1097750 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	RN092487	GEORGIA	Yes

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: 4/28/2024

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