NPI 1235646217

Clayton Center Mhaddd

Organisation Mental Illness Community Based Residential Treatment Facility Riverdale, GA

Practice location

Address: 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502
Phone: (770) 997-8137
Mailing address: 157 Smith St, Jonesboro, GA 30236-3546

Authorised official

Name: Tiffany Tom-Johnson
Title: Coo
Phone: (770) 478-2280

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Georgia →

Registry record

NPI: 1235646217
Entity type: Organization
NPI issued: 29 Dec 2017
Record last updated: 29 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.