Clayton Mhddad

NPI #1679761373 in Jonesboro, Georgia

Provider Information

NPI Number: 1679761373
Entity Type: Organization
Organization Name: Clayton Mhddad
Subpart: Yes (part of a larger organization)
Parent Organization: CLAYTON MHDDAD
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 9, 2007
Last Updated: Nov 15, 2011

Practice Location

Address: 2081 LOGAN DR
City: Jonesboro
State: Georgia
ZIP Code: 30236-7215
Phone: (770) 471-3192

Authorized Official

Name: MR. TERRY COLE
Title: EXCUTIVE DIRECTOR
Phone: (770) 748-2280

Specialties & Taxonomy Codes

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

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