CLAYTON COUNTY JUVENILE JUSTICE FUND NPI 1629694120

NPI Information

NPI: 1629694120
Provider Name: CLAYTON COUNTY JUVENILE JUSTICE FUND
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1412 SOUTHLAKE PLAZA DR
MORROW, GA
ZIP 30260
Phone: (770) 703-6675
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CLAYTON COUNTY JUVENILE JUSTICE FUND is a professional counselor in Morrow, GA. CLAYTON COUNTY JUVENILE JUSTICE FUND NPI is 1629694120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1412 SOUTHLAKE PLAZA DR
MORROW, GA
ZIP 30260-756
Phone: (770) 703-6675

The provider's authorized official is Deborah Stone .
The authorized official title is Executive Director and has the following contact phone number (734) 392-4266.

The enumeration date for this NPI number is 6/19/2020 and was last updated on 6/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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