Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO BRUNO VAN DER MERWE (COO)
(404) 294-3836
Entity
Organization
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3836
Mailing address
445 WINN WAY FL 4, DECATUR, GA 30030-1707
(404) 294-3836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
04/22/2020
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