Dekalb Community Service Board in Decatur - Community/behavioral Health
Dekalb Community Service Board - NPI 1023153061
Dekalb Community Service Board is a Community/behavioral Health in Decatur, 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 1023153061. The last update date is 2020-04-28.
Dekalb Community Service Board's current location address is 440 Winn Way, Decatur, Georgia. You can contact this provider via phone number 4045086413 and fax number 4045086443. The mailing address for Dekalb Community Service Board is 440 Winn Way, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 440 Winn Way, Decatur, Georgia |
| Phone Number | 4045086413 |
| Fax Number | 4045086443 |
| 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 | 1023153061 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-04-28 |
Provider Mailing Address Detail
| Address | 440 Winn Way |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301715 |
| Phone Number | 4045086413 |
| Fax Number | 4045086443 |
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 identification code assigned to Dekalb Community Service Board by the Centers for Medicare & Medicaid Services?
The Dekalb Community Service Board has been issued the NPI (National Provider Identifier) 1023153061. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dekalb Community Service Board is geographically located?
The Dekalb Community Service Board is physically situated at the following location: 440 Winn Way, Decatur, GA, 300301715.
What is Dekalb Community Service Board's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dekalb Community Service Board is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did Dekalb Community Service Board receive its 1023153061 assignment from the Centers for Medicare & Medicaid Services?
The Dekalb Community Service Board was assigned its 1023153061 on 2007-02-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dekalb Community Service Board, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dekalb Community Service Board, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-28.
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