CLAYTON MHDDAD NPI 1548458441

NPI Information

  • NPI: 1548458441
  • Provider Name: CLAYTON MHDDAD
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: CLAYTON CSB
  • Address: 157 SMITH ST
    JONESBORO, GA
    ZIP 30236
  • Phone: (770) 478-2280

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NPI Details

CLAYTON MHDDAD is a day training developmentally disabled services in Jonesboro, 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 1548458441. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Csb.

The provider's business location address is:

157 SMITH ST
JONESBORO, GA
ZIP 30236-546
Phone: (770) 478-2280
Fax: (770) 477-9772

The provider's authorized official is Terry Cole .
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 10/5/2007 and was last updated on 11/8/2011.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2251S00000XCommunity/Behavioral HealthNo
3261Q00000XClinic/CenterNo
4101Y00000XCounselorNo
5103T00000XPsychologistNo
6251C00000XDay Training, Developmentally Disabled ServicesYes

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
100881218AMEDICAIDGEORGIA
200604205DMEDICAIDGEORGIA
300606922BMEDICAIDGEORGIA
400626249CMEDICAIDGEORGIA
500884056AMEDICAIDGEORGIA
626BDD2HMEDICARE PINGEORGIA
7GRP2322MEDICARE PINGEORGIA
800586176FMEDICAIDGEORGIA

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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