| Clayton Csb | |
|
6315 Garden Walk Blvd Riverdale GA 30274-2628 | |
| (770) 991-7420 | |
| (770) 991-7429 |
| Full Name | Clayton Csb |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6315 Garden Walk Blvd, Riverdale, Georgia |
| Authorized Official Name and Position | Terry Cole (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 7704782280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Csb 157 Smith St Jonesboro GA 30236-3546 Ph: (770) 478-2280 | Clayton Csb 6315 Garden Walk Blvd Riverdale GA 30274-2628 Ph: (770) 991-7420 |
| NPI Number | 1639367543 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639367543 | NPI | - | NPPES |
| 000604250B | Medicaid | GA | |
| 00604205B | Medicaid | GA |
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