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Organization

CLAYTON CENTER MHADDD

Active
Parent organization
CLAYTON CENTER MHADDD
Other names
Clayton Center, Clayton Center CSB
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLAYTON CENTER MHADDD
Authorized official
TIFFANY TOM-JOHNSON (COO)
(770) 478-2280
Entity
Organization

Contact information

Practice address
5930 HIGHWAY 85 UNIT 104, RIVERDALE, GA 30274-1502
(770) 997-8137
Mailing address
157 SMITH ST, JONESBORO, GA 30236-3546
(770) 473-2649

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
01/02/2018
Last updated
06/16/2018
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