| NPI | 1548458441 |
|---|---|
| Doing Business As | CLAYTON CSB |
| Entity Type | Organization |
| Authorized Contact | TERRY COLE Executive Director 770-478-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X | |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 261QM0801X | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-11-08 |