Clayton Csb

LBN: Clayton Center Mhaddd
Clayton Csb is an health care organization with primary practice located at 1396 Southlake Plaza Drive , Morrow GA 30260-1756. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Clayton Center Mhaddd can be contacted via phone (770) 473-2640, or through Cheever, Aundria D via phone (770) 478-2280.

Contact Information

Primary practice address
1396 Southlake Plaza Drive Morrow GA 30260-1756
Phone: (770) 473-2640
Fax: (770) 473-2601
Website:
Map and Directions
Authorized official contact:
Name: Cheever, Aundria D PHD
Phone: (770) 478-2280

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Agencies / Case Management 251B00000X
Agencies / Case Management 251B00000X Georgia
Agencies / Community/Behavioral Health 251S00000X
Agencies / Community/Behavioral Health 251S00000X Georgia
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Georgia
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Georgia

Profile Details

NPI number 1033307731
LBN Legal business name Clayton Center Mhaddd
DBA Doing business as Clayton Csb
Authorized official Cheever, Aundria D PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2007
Last updated Mar 9th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033307731 NPPES
Georgia MEDICAID 000604205B
Georgia MEDICAID 00604205R

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