Clayton Center Mhaddd in Jonesboro - Adult Mental Health

Clayton Center Mhaddd - NPI 1033307731

Clayton Center Mhaddd is a Adult Mental Health in Jonesboro, Georgia. Clayton Center Mhaddd practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Clayton Center Mhaddd is 1033307731. The last update date is 2017-03-09.

Clayton Center Mhaddd's current location address is 157 Smith Street, Jonesboro, Georgia. You can contact this provider via phone number 7704782280 and fax number 7704779772. The mailing address for Clayton Center Mhaddd is 157 Smith Street, Jonesboro, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clayton Center Mhaddd
Address 157 Smith Street, Jonesboro, Georgia
Phone Number 7704782280
Fax Number 7704779772
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Cheever D Aundria
Credentials PHD
Telephone Number 7704782280

NPI Number Detail

NPI Number 1033307731
Provider Enumeration Date 2007-10-09
Last Updated Date 2017-03-09

Provider Mailing Address Detail

Address 157 Smith Street
City Jonesboro
State Georgia (GA)
Post Code 302363546
Phone Number 7704782280
Fax Number 7704779772

Provider's Primary Taxonomy Detail

Speciality Adult Mental Health
Taxonomy 261Qm0850X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000604205B GA --
00604205R GA --

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FAQs about Clayton Center Mhaddd

What is the unique 10-digit identification code issued to Clayton Center Mhaddd by the Centers for Medicare & Medicaid Services?

The Clayton Center Mhaddd has been assigned the NPI (National Provider Identifier) 1033307731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Clayton Center Mhaddd is located?

The Clayton Center Mhaddd is situated at the following address: 157 Smith Street, Jonesboro, GA, 302363546.

What is Clayton Center Mhaddd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Clayton Center Mhaddd is Adult Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0850X.

On what date did the Clayton Center Mhaddd receive its 1033307731 assignment from the Centers for Medicare & Medicaid Services?

The Clayton Center Mhaddd was assigned its 1033307731 by the Centers for Medicare & Medicaid Services on 2007-10-09.

When was the information related to Clayton Center Mhaddd most recently updated or refreshed?

The details pertaining to the Clayton Center Mhaddd, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-09.

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