NPI | 1881956183 |
---|---|
Other Name | CLAYTON CENTER BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | DOROTHY A. FORTUCHANG Substance Abuse Counselor 770-478-1099 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: GA APC002869) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2012-06-12 |