NPI | 1124216825 |
---|---|
Doing Business As | CLAYTON CSB |
Entity Type | Organization |
Authorized Contact | TERRY COLE Executive Director 770-478-2280 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
251C00000X Day Training, Developmentally Disabled Services | |
261Q00000X Clinic/Center | |
261QA0600X Clinic/Center, Adult Day Care | |
261QM0850X Clinic/Center, Adult Mental Health | |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist | |
Enumeration Date | 2007-10-09 |
Last Update Date | 2011-11-15 |