| Clayton Csb | |
|
1396 Southlake Plaza Drive Morrow GA 30260-1756 | |
| (770) 473-2640 | |
| (770) 473-2601 |
| Full Name | Clayton Csb |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1396 Southlake Plaza Drive, Morrow, Georgia |
| Authorized Official Name and Position | Aundria D Cheever (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7704782280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Csb 157 Smith Street Jonesboro GA 30236-3546 Ph: (770) 478-2280 | Clayton Csb 1396 Southlake Plaza Drive Morrow GA 30260-1756 Ph: (770) 473-2640 |
| NPI Number | 1033307731 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033307731 | NPI | - | NPPES |
| 000604205B | Medicaid | GA | |
| 00604205R | Medicaid | GA |
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