Organization
CLAYTONCOMMUNITY MHSADS SERVICE BOARD
Active
Other names
Clayton Center MHDDAD
Organization subpart
No
Provider details
NPI number
Authorized official
AUNDRIA CHEEVER (CEO)
(770) 478-2280
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
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606922BN
—
GA
Enumeration date
02/04/2016
Last updated
02/04/2016
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