Organization
CLAYTON COMMUNITY SERVICE BOARD
Active
Other names
Clayton Center Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY A. FORTUCHANG MS, LAPC, NCC (SUBSTANCE ABUSE COUNSELOR)
(770) 478-1099
Entity
Organization
Contact information
Practice address
853 BATTLECREEK RD, JONESBORO, GA 30236-1919
(770) 478-1099
(770) 603-4797
Mailing address
853 BATTLECREEK RD, JONESBORO, GA 30236-1919
(770) 478-1099
(770) 603-4797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
APC002869
GA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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