Clayton Mhddad

NPI #1790973550 in Jonesboro, Georgia

Provider Information

NPI Number
1790973550
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 5, 2007
Last Updated
Nov 8, 2011

Practice Location

Address
8132 KENDRICK RD
Address 2
A
State
Georgia
ZIP Code
30238-2933
Phone
(770) 473-4963

Authorized Official

Name
MR. TERRY COLE
Title
EXECUTIVE DIRECTOR
Phone
(770) 478-2280

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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