Dekalb Community Service Board in Decatur - Community/behavioral Health
Dekalb Community Service Board - NPI 1861536955
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 1861536955. The last update date is 2020-04-23.
Dekalb Community Service Board's current location address is 445 Winn Way, Decatur, Georgia. You can contact this provider via phone number 4045083836. The mailing address for Dekalb Community Service Board is 445 Winn Way, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Community Service Board |
|---|---|
| Address | 445 Winn Way, Decatur, Georgia |
| Phone Number | 4045083836 |
| 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 | 1861536955 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-04-23 |
Provider Mailing Address Detail
| Address | 445 Winn Way |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301707 |
| Phone Number | 4045083836 |
| 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 10-digit identifier 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) 1861536955 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Dekalb Community Service Board is located?
The Dekalb Community Service Board is situated at the following address: 445 Winn Way, Decatur, GA, 300301707.
What is Dekalb Community Service Board's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dekalb Community Service Board's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did the Dekalb Community Service Board receive its 1861536955 assignment from the Centers for Medicare & Medicaid Services?
The Dekalb Community Service Board was assigned its 1861536955 by the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the Dekalb Community Service Board's information last updated?
The Dekalb Community Service Board's information was last updated on 2020-04-23.