Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Parent organization
DEKALB COMMUNITY SERVICE BOARD
Other names
Crossroads Peer & Supported Employment, Fox Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEKALB COMMUNITY SERVICE BOARD
Authorized official
FABIO BRUNO VAN DER MERWE (COO)
(404) 294-3836
Entity
Organization
Contact information
Practice address
3100 CLIFTON SPRINGS RD, DECATUR, GA 30034-4606
(404) 378-6036
(404) 370-7437
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
04/21/2020
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