DEKALB COMMUNITY SERVICE BOARD NPI 1982813309

NPI Information

NPI: 1982813309
Provider Name: DEKALB COMMUNITY SERVICE BOARD

Other Name: NORTH DEKALB MENTAL HEALTH CENTER

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3807 CLAIRMONT RD
CHAMBLEE, GA
ZIP 30341
Phone: (770) 457-5867
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DEKALB COMMUNITY SERVICE BOARD is a mental health (including community mental health center) clinic center in Chamblee, GA. DEKALB COMMUNITY SERVICE BOARD NPI is 1982813309. The provider is registered as an organization entity type.
The provider Other Name Is North Dekalb Mental Health Center.

The provider's business location address is:

3807 CLAIRMONT RD
CHAMBLEE, GA
ZIP 30341-911
Phone: (770) 457-5867

The provider's authorized official is Fabio Bruno Van Der Merwe .
The authorized official title is Coo and has the following contact phone number (404) 294-3836.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 4/21/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	000692	GEORGIA	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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