Organization
CLAYTON MHDDAD
Active
Parent organization
CLAYTON MHDDAD
Other names
Clayton Center CSB
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAYTON MHDDAD
Authorized official
MR. JADE BENEFIELD (EXECUTIVE DIRECTOR)
(770) 478-2280
Entity
Organization
Contact information
Practice address
269 VALLEY HILL RD SW, RIVERDALE, GA 30274-2745
(770) 478-2280
Mailing address
112 BROAD ST, JONESBORO, GA 30236-3563
(770) 478-2280
(770) 477-9772
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000606922AM
—
GA
Enumeration date
08/01/2008
Last updated
08/01/2008
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