Dekalb Community Service Board in Tucker - Community/behavioral Health
Dekalb Community Service Board - NPI 1003951088
Dekalb Community Service Board is a Community/behavioral Health in Tucker, Georgia. Dekalb Community Service Board practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Dekalb Community Service Board is 1003951088. The last update date is 2020-04-23.
Dekalb Community Service Board's current location address is 4316 Smithsonia Dr, Tucker, Georgia. You can contact this provider via phone number 7709383578 and fax number 7709383578. The mailing address for Dekalb Community Service Board is 4316 Smithsonia Dr, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 4316 Smithsonia Dr, Tucker, Georgia |
| Phone Number | 7709383578 |
| Fax Number | 7709383578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Van Der Merwe Bruno Fabio |
| Telephone Number | 4042943836 |
NPI Number Detail
| NPI Number | 1003951088 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-04-23 |
Provider Mailing Address Detail
| Address | 4316 Smithsonia Dr |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300842615 |
| Phone Number | 7709383578 |
| Fax Number | 7709383578 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Dekalb Community Service Board by the Centers for Medicare & Medicaid Services (CMS)?
The Dekalb Community Service Board has been assigned the NPI (National Provider Identifier) 1003951088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Dekalb Community Service Board?
The Dekalb Community Service Board is physically situated at 4316 Smithsonia Dr, in the city of Tucker, state of GA, with the postal code 300842615.
What is Dekalb Community Service Board's area of expertise and its corresponding taxonomy classification?
The Dekalb Community Service Board's field of specialization is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1003951088 to Dekalb Community Service Board?
The Dekalb Community Service Board received its 1003951088 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information pertaining to Dekalb Community Service Board most recently updated or revised?
The details related to Dekalb Community Service Board, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-23.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC