Clayton Csb | |
853 Battlecreek Rd Jonesboro GA 30236-1919 | |
(770) 478-1099 | |
(770) 478-8722 |
Full Name | Clayton Csb |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 853 Battlecreek Rd, Jonesboro, Georgia |
Authorized Official Name and Position | Marketeia Gant (CFO) |
Authorized Official Contact | 7706051126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clayton Csb 112 Broad St Jonesboro GA 30236-3563 Ph: (770) 478-2280 | Clayton Csb 853 Battlecreek Rd Jonesboro GA 30236-1919 Ph: (770) 478-1099 |
NPI Number | 1609024157 |
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Provider Enumeration Date | 09/08/2008 |
Last Update Date | 03/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609024157 | NPI | - | NPPES |
00604205E | Medicaid | GA | |
GRP2322 | Other | GA | MEDICARE |
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