Clayton Community Mental Health Substance Ab
Clinic/Center, Mental Health (Including Community Mental Health Center) in Jonesboro, GA. Organization (NPI-2).
NPI number1609024157
StatusActive
Last updated in NPPESMar 4, 2011
Details
- NPI
- 1609024157
- Entity type
- Organization (NPI-2)
- Legal business name
- Clayton Community Mental Health Substance Ab
- Organization subpart
- Yes
- Enumeration date
- Sep 8, 2008
- Last updated
- Mar 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | GA |
Other names
- Clayton Csb (Doing Business As)
Practice location
853 Battlecreek RdJonesboro, GA 30236-1919
Phone 770-478-1099 · Fax 770-478-8722
Mailing address
112 Broad StJonesboro, GA 30236-3563
Phone 770-478-2280 · Fax 770-478-8722
Authorized official
Marketeia Gant
Cfo
7706051126
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All 19 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Jonesboro · All 1,354 providers in Jonesboro
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