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Organization

DEKALB COMMUNITY SERVICE BOARD

Active
Parent organization
DEKALB COMMUNITY SERVICE BOARD
Other names
East DeKalb
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEKALB COMMUNITY SERVICE BOARD
Authorized official
FABIO BRUNO VAN DER MERWE (CEO)
(404) 294-3836
Entity
Organization

Contact information

Practice address
2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058-5252
(770) 270-2710
(770) 270-2714
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
02/20/2007
Last updated
09/06/2023
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