Organization
CLAYTON CENTER CSB
Active
Organization
CLAYTON CENTER CSB
Active
Other names
Paula Crane Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOQUETA MCGHEE (REVENUE UTILIZATION MANAGER)
(770) 478-2280
Entity
Organization
Contact information
Practice address
157 SMITH ST, JONESBORO, GA 30236-3546
(770) 478-2280
(770) 477-9772
Mailing address
1792 MOUNT ZION RD, MORROW, GA 30260-4114
(770) 960-2009
(770) 960-2024
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2322
MEDICARE
GA
Enumeration date
03/23/2016
Last updated
03/23/2016
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