Dekalb Community Service Board in Lithonia - Community/behavioral Health
Dekalb Community Service Board - NPI 1427193226
Dekalb Community Service Board is a Community/behavioral Health in Lithonia, 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 1427193226. The last update date is 2020-05-05.
Dekalb Community Service Board's current location address is 1536 Saint Dunstans Rd, Lithonia, Georgia. You can contact this provider via phone number 7704560091 and fax number 7704560091. The mailing address for Dekalb Community Service Board is 1536 Saint Dunstans Rd, Lithonia, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 1536 Saint Dunstans Rd, Lithonia, Georgia |
| Phone Number | 7704560091 |
| Fax Number | 7704560091 |
| 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 | 1427193226 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-05-05 |
Provider Mailing Address Detail
| Address | 1536 Saint Dunstans Rd |
|---|---|
| City | Lithonia |
| State | Georgia (GA) |
| Post Code | 300585632 |
| Phone Number | 7704560091 |
| Fax Number | 7704560091 |
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) 1427193226 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 1536 Saint Dunstans Rd, in the city of Lithonia, state of GA, with the zip code 300585632.
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 1427193226 from the Centers for Medicare & Medicaid Services?
The Dekalb Community Service Board was issued its 1427193226 by the Centers for Medicare & Medicaid Services on 2007-02-20.
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 2020-05-05.