| North Dekalb Mental Health Center | |
|
3807 Clairmont Rd Chamblee GA 30341-4911 | |
| (770) 457-5867 | |
| Not Available |
| Full Name | North Dekalb Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3807 Clairmont Rd, Chamblee, Georgia |
| Authorized Official Name and Position | Fabio Bruno Van Der Merwe (COO) |
| Authorized Official Contact | 4042943836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Dekalb Mental Health Center 445 Winn Way Decatur GA 30030-1707 Ph: (404) 508-7796 | North Dekalb Mental Health Center 3807 Clairmont Rd Chamblee GA 30341-4911 Ph: (770) 457-5867 |
| NPI Number | 1982813309 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982813309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 000692 (Georgia) | Primary |
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