Dekalb Community Service Board in Atlanta - Community/behavioral Health
Dekalb Community Service Board - NPI 1285759688
Dekalb Community Service Board is a Community/behavioral Health in Atlanta, 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 1285759688. The last update date is 2020-04-21.
Dekalb Community Service Board's current location address is 23 Warren St Se, Atlanta, Georgia. You can contact this provider via phone number 4043707474 and fax number 4043707475. The mailing address for Dekalb Community Service Board is 23 Warren St Se, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 23 Warren St Se, Atlanta, Georgia |
| Phone Number | 4043707474 |
| Fax Number | 4043707475 |
| 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 | 1285759688 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-04-21 |
Provider Mailing Address Detail
| Address | 23 Warren St Se |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303172201 |
| Phone Number | 4043707474 |
| Fax Number | 4043707475 |
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 provider identifier assigned to Dekalb Community Service Board?
The Dekalb Community Service Board has been issued the NPI (National Provider Identifier) 1285759688 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Dekalb Community Service Board?
The Dekalb Community Service Board is situated at 23 Warren St Se, in the city of Atlanta, state of GA, with the zip code 303172201.
What is Dekalb Community Service Board's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dekalb Community Service Board is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
When did Dekalb Community Service Board receive its 1285759688 assignment?
The Dekalb Community Service Board was assigned its 1285759688 on 2007-03-21, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Dekalb Community Service Board, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dekalb Community Service Board, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-21.