Dekalb Community Service Board in Decatur - Community/behavioral Health
Dekalb Community Service Board - NPI 1144365172
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 1144365172. The last update date is 2020-04-23.
Dekalb Community Service Board's current location address is 445 Winn Way Fl 4, Decatur, Georgia. You can contact this provider via phone number 4042943836. The mailing address for Dekalb Community Service Board is 445 Winn Way Fl 4, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 445 Winn Way Fl 4, Decatur, Georgia |
| Phone Number | 4042943836 |
| Fax Number | |
| 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 | 1144365172 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-04-23 |
Provider Mailing Address Detail
| Address | 445 Winn Way Fl 4 |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301707 |
| Phone Number | 4042943836 |
| Fax Number |
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?
The Dekalb Community Service Board has been assigned the NPI (National Provider Identifier) 1144365172. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dekalb Community Service Board is physically located?
The Dekalb Community Service Board is situated at the following address: 445 Winn Way Fl 4, Decatur, GA 300301707.
What is the Dekalb Community Service Board's area of specialization and corresponding taxonomy classification?
The Dekalb Community Service Board's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Dekalb Community Service Board receive the assignment of its 1144365172 from the Centers for Medicare & Medicaid Services?
The Dekalb Community Service Board was issued its 1144365172 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date were the details related to Dekalb Community Service Board most recently updated or revised?
The information pertaining to Dekalb Community Service Board, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-23.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA