CLAYTON MHDDAD NPI 1588852289

NPI Information

CLAYTON MHDDAD is a mental health (including community mental health center) clinic center in Morrow, GA. CLAYTON MHDDAD NPI is 1588852289. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Csb.

The provider's business location address is:

5818 THOMPSON BLVD
MORROW, GA
ZIP 30260-910
Phone: (404) 363-6305
Fax: (770) 477-9772

The provider's authorized official is Terry Cole .
The authorized official title is Excutive Director and has the following contact phone number (770) 478-2280.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 11/15/2011.

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:

Other Identifiers

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