Organization
DEKALB COMMUNITY SERVICE BOARD
Active
Other names
North DeKalb Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FABIO BRUNO VAN DER MERWE (COO)
(404) 294-3836
Entity
Organization
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 457-5867
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7796
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
000692
GA
Other
Enumeration date
05/22/2007
Last updated
04/21/2020
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