Organization
CLAYTON CENTER COMMUNITY SERVICE BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIETTE MCGAHA RN (STAFF NURSE)
(770) 478-1099
Entity
Organization
Contact information
Practice address
853 BATTLECREEK RD, JONESBORO, GA 30236-1919
(770) 478-1099
(770) 478-8722
Mailing address
853 BATTLECREEK ROAD, JONESBORO, GA 30236
(770) 478-1099
(770) 478-8722
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
RN092487
GA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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