1639367543 CLAYTON MHDDAD
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- CLAYTON MHDDAD
- Enumeration Date
- October 5, 2007
- Last Update
- November 8, 2011
- Authorized Official
- MR. TERRY COLE
EXCUTIVE DIRECTOR
Phone: (770) 478-2280
Practice Location
- Address
- 6315 GARDEN WALK BLVD
RIVERDALE, GA 302742628 - Phone
- (770) 991-7420
- Fax
- (770) 991-7429
Mailing Address
- Address
- 157 SMITH ST
JONESBORO, GA 302363546 - Phone
- (770) 478-2280
- Fax
- (770) 477-9772
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | N/A | N/A | No |
| Clinic/Center | 261Q00000X | Clinic/Center | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Counselor | 101Y00000X | Counselor | N/A | N/A | No |
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | N/A | N/A | No |
| Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 103TC2200X | Psychologist | N/A | N/A | No |
| Psychologist | 103T00000X | Psychologist | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000604250B | 05 | GA | N/A |
| 00604205B | 05 | GA | N/A |
Frequently Asked Questions
What is CLAYTON MHDDAD's NPI number?
CLAYTON MHDDAD's NPI number is 1639367543.
Which doctor has NPI number 1639367543?
The doctor with NPI number 1639367543 is CLAYTON MHDDAD.
What is CLAYTON MHDDAD's practice address?
CLAYTON MHDDAD's practice address is 6315 GARDEN WALK BLVD, RIVERDALE, GA, 302742628.
Which doctor practices at 6315 GARDEN WALK BLVD, RIVERDALE, GA, 302742628?
CLAYTON MHDDAD practices at 6315 GARDEN WALK BLVD, RIVERDALE, GA, 302742628.
What is CLAYTON MHDDAD's mailing address?
CLAYTON MHDDAD's mailing address is 157 SMITH ST, JONESBORO, GA, 302363546.
What is CLAYTON MHDDAD's phone number?
CLAYTON MHDDAD's phone number is (770) 991-7420.
Who is (770) 991-7420?
(770) 991-7420 is the phone number for CLAYTON MHDDAD.
What is CLAYTON MHDDAD's specialty?
CLAYTON MHDDAD's specialty is Community/Behavioral Health Agency.
What type of doctor is CLAYTON MHDDAD?
CLAYTON MHDDAD is a Community/Behavioral Health Agency.
Is CLAYTON MHDDAD a Community/Behavioral Health?
Yes, CLAYTON MHDDAD is a Community/Behavioral Health.
Is CLAYTON MHDDAD still practicing?
Yes, CLAYTON MHDDAD is currently practicing.
Is CLAYTON MHDDAD accepting new patients?
CLAYTON MHDDAD may be accepting new patients. Please call their office at (770) 991-7420 to inquire about availability.
Is NPI 1639367543 still active?
Yes, NPI 1639367543 is currently active.
Where does CLAYTON MHDDAD practice?
CLAYTON MHDDAD practices in RIVERDALE, GA.