Clayton Community Mental Health Substance Abuse Deve Svcs Board

NPI #1518932078 in Jonesboro, Georgia

Provider Information

NPI Number: 1518932078
Entity Type: Organization
Organization Name: Clayton Community Mental Health Substance Abuse Deve Svcs Board
Subpart: Yes (part of a larger organization)
Parent Organization: CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE ABUSE DEVE SVCS BOARD
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 20, 2006
Last Updated: Jun 4, 2013

Practice Location

Address: 157 SMITH ST
City: Jonesboro
State: Georgia
ZIP Code: 30236-3546
Phone: (770) 478-2280

Authorized Official

Name: DR. AUNDRIA CHEEVER
Title: EXECUTIVE DIRECTOR
Phone: (770) 478-2280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center	261Q00000X
Counselor	101Y00000X
Psychologist	103T00000X
Social Worker	104100000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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