Dekalb Community Service Board in Stone Mountain - Community/behavioral Health
Dekalb Community Service Board - NPI 1548304637
Dekalb Community Service Board is a Community/behavioral Health in Stone Mountain, 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 1548304637. The last update date is 2020-04-28.
Dekalb Community Service Board's current location address is 4781 Lewis Rd, Stone Mountain, Georgia. You can contact this provider via phone number 7702702710 and fax number 7702702714. The mailing address for Dekalb Community Service Board is 4781 Lewis Rd, Stone Mountain, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 4781 Lewis Rd, Stone Mountain, Georgia |
| Phone Number | 7702702710 |
| Fax Number | 7702702714 |
| 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 | 1548304637 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-04-28 |
Provider Mailing Address Detail
| Address | 4781 Lewis Rd |
|---|---|
| City | Stone Mountain |
| State | Georgia (GA) |
| Post Code | 300831020 |
| Phone Number | 7702702710 |
| Fax Number | 7702702714 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000599519E | GA | -- | |
| 000603446J | GA | -- |
Post Comment/ Review Below
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) 1548304637. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dekalb Community Service Board is physically located?
The Dekalb Community Service Board is physically situated at the following address: 4781 Lewis Rd, Stone Mountain, GA, 300831020.
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 Dekalb Community Service Board receive its 1548304637 assignment from the Centers for Medicare & Medicaid Services?
The Dekalb Community Service Board was assigned its 1548304637 by the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information regarding Dekalb Community Service Board most recently updated?
The details pertaining to the Dekalb Community Service Board, including its address, specialty, and other relevant information, were last refreshed on 2020-04-28.
NPI Number: 1619970878
Address: 5808 W 8th, Wichita, KS
NPI Number: 1427051218
Address: 9510 Ormsby Station Rd, Louisville, KY
NPI Number: 1245232347
Address: 15 Strawberry Ave, Lewiston, ME
NPI Number: 1760486542
Address: 8600 Wurzbach Rd Ste 700, San Antonio, TX