Clayton Mhddad
Respite Care in Jonesboro, GA. Organization (NPI-2).
NPI number1760670467
StatusActive
Last updated in NPPESNov 8, 2011
Details
- NPI
- 1760670467
- Entity type
- Organization (NPI-2)
- Legal business name
- Clayton Mhddad
- Organization subpart
- Yes
- Enumeration date
- Oct 9, 2007
- Last updated
- Nov 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385H00000X | Respite Care | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Other names
- Clayton Csb (Doing Business As)
Practice location
9698 Holly Hill WayJonesboro, GA 30238-6490
Phone 770-471-2971 · Fax 770-477-9772
Mailing address
157 Smith StJonesboro, GA 30236-3546
Phone 770-478-2280 · Fax 770-477-9772
Authorized official
Terry Cole
Excutive Director
7704782280
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