Organization
CLAYTON CENTER MHADDD
Active
Parent organization
CLAYTON MHADDD
Other names
Clayton Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAYTON MHADDD
Authorized official
TIFFANY TOM-JOHNSON (COO)
(770) 478-2280
Entity
Organization
Contact information
Practice address
5930 HIGHWAY 85 UNIT 101, 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
01/02/2018
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