CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB NPI 1609024157

NPI Information

NPI: 1609024157
Provider Name: CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB

Doing Business As: CLAYTON CSB

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
853 BATTLECREEK RD
JONESBORO, GA
ZIP 30236
Phone: (770) 478-1099
Get Directions

CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB is a mental health (including community mental health center) clinic center in Jonesboro, GA. CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB NPI is 1609024157. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Csb.

The provider's business location address is:

853 BATTLECREEK RD
JONESBORO, GA
ZIP 30236-919
Phone: (770) 478-1099
Fax: (770) 478-8722

The provider's authorized official is Marketeia Gant .
The authorized official title is Cfo and has the following contact phone number (770) 605-1126.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 3/4/2011.

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	261QM0850X	Clinic/Center	Adult Mental Health		GEORGIA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GRP2322	MEDICARE PIN	GEORGIA
2	00604205E	MEDICAID	GEORGIA
3	GRP2322	OTHER	GEORGIA	MEDICARE

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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