Organization
CLAYTON CENTER MHADDD
Active
Parent organization
CLAYTON CENTER COMMUNITY SERVICES BD
Other names
Clayton CSB
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAYTON CENTER COMMUNITY SERVICES BD
Authorized official
DR. AUNDRIA D CHEEVER PHD (CHIEF EXECUTIVE OFFICER)
(770) 478-2280
Entity
Organization
Contact information
Practice address
1396 SOUTHLAKE PLAZA DRIVE, MORROW, GA 30260-1756
(770) 473-2640
(770) 473-2601
Mailing address
157 SMITH STREET, JONESBORO, GA 30236-3546
(770) 478-2280
(770) 477-9772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
GA
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
GA
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604205B
—
GA
05
—
00604205R
—
GA
Enumeration date
10/09/2007
Last updated
03/09/2017
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