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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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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