| Clayton Csb | |
|
157 Smith St Jonesboro GA 30236-3546 | |
| (770) 478-2280 | |
| (770) 477-9772 |
| Full Name | Clayton Csb |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 157 Smith St, 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 Csb 157 Smith St Jonesboro GA 30236-3546 Ph: (770) 478-2280 | Clayton Csb 157 Smith St Jonesboro GA 30236-3546 Ph: (770) 478-2280 |
| NPI Number | 1548458441 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548458441 | NPI | - | NPPES |
| 00604205D | Medicaid | GA | |
| 00881218A | Medicaid | GA | |
| 00586176F | Medicaid | GA | |
| 00626249C | Medicaid | GA | |
| 00884056A | Medicaid | GA | |
| 00606922B | Medicaid | GA |
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