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Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Other names
North DeKalb Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO BRUNO VAN DER MERWE (COO)
(404) 294-3836
Entity
Organization
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 457-5867
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7796
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
000692
GA
Other
Enumeration date
05/22/2007
Last updated
04/21/2020
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