| NPI | 1639367543 |
|---|---|
| Doing Business As | CLAYTON CSB |
| Entity Type | Organization |
| Authorized Contact | TERRY COLE Excutive 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 | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-11-08 |