| Clayton Center Csb | |
|
217 Stockbridge Rd Jonesboro GA 30236-3628 | |
| (770) 478-2280 | |
| (770) 477-9772 |
| Full Name | Clayton Center Csb |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 217 Stockbridge Rd, Jonesboro, Georgia |
| Authorized Official Name and Position | Terry Cole (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7704782280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Center Csb 157 Smith St Jonesboro GA 30236-3546 Ph: (770) 478-2280 | Clayton Center Csb 217 Stockbridge Rd Jonesboro GA 30236-3628 Ph: (770) 478-2280 |
| NPI Number | 1477719722 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477719722 | NPI | - | NPPES |
| 000604205D | Medicaid | GA |
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