Clayton Mhddad

NPI #1942498647 in Morrow, Georgia

Provider Information

NPI Number: 1942498647
Entity Type: Organization
Organization Name: Clayton Mhddad
Subpart: Yes (part of a larger organization)
Parent Organization: CLAYTON MHDDAD
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 9, 2007
Last Updated: Mar 5, 2008

Practice Location

Address: 5800 LILLIAN LN
City: Morrow
State: Georgia
ZIP Code: 30260-3965
Phone: (404) 363-2995

Authorized Official

Name: MR. JADE BENEFIELD
Title: EXCUTIVE DIRECTOR
Phone: (770) 478-2280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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