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Organization

CLAYTON CENTER CSB

Active
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Organization

CLAYTON CENTER CSB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY TOM-JOHNSON (COO)
(770) 473-2418
Entity
Organization

Contact information

Practice address
133 AUGUSTA DR, MCDONOUGH, GA 30253-4268
(770) 478-2280
(770) 477-9772
Mailing address
157 SMITH ST, JONESBORO, GA 30236-3546
(770) 478-2280
(770) 477-9772

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/13/2016
Last updated
10/19/2016
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