Clayton Center Mhaddd

NPI #1245747138 in Riverdale, Georgia

Provider Information

NPI Number: 1245747138
Entity Type: Organization
Organization Name: Clayton Center Mhaddd
Subpart: Yes (part of a larger organization)
Parent Organization: CLAYTON CENTER MHADDD
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 2, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 5930 HIGHWAY 85 UNIT 104
City: Riverdale
State: Georgia
ZIP Code: 30274-1502
Phone: (770) 997-8137

Authorized Official

Name: TIFFANY TOM-JOHNSON
Title: COO
Phone: (770) 478-2280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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