Clayton Community Mental Health Substance Ab

NPI #1609024157 in Jonesboro, Georgia

Provider Information

NPI Number: 1609024157
Entity Type: Organization
Organization Name: Clayton Community Mental Health Substance Ab
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: Sep 8, 2008
Last Updated: Mar 4, 2011

Practice Location

Address: 853 BATTLECREEK RD
City: Jonesboro
State: Georgia
ZIP Code: 30236-1919
Phone: (770) 478-1099

Authorized Official

Name: MARKETEIA GANT
Title: CFO
Phone: (770) 605-1126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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