Dekalb Community Service Board
Organization Active NPI Community/Behavioral Health Agency · Chamblee, GA
NPI 1154466142 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1154466142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DEKALB COMMUNITY SERVICE BOARD
- Practice address
- 3571 Embry Cir
Chamblee, GA 30341-5613 - Phone
- (770) 986-8746
- Fax
- (770) 986-8746
- NPI assigned
- Feb 20, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- DEKALB COMMUNITY SERVICE BOARD
Authorized official
- Name
- Fabio Bruno Van Der Merwe
- Title
- Coo
- Phone
- (404) 294-3836
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Dekalb Community Serv
- Part of
- Dekalb Community Serv
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3571 Embry Cir
Chamblee, GA 30341-5613
Mailing address
445 Winn Way FL 4
Decatur, GA 30030-1707
Phone (404) 294-3836
Other names
- Embry Circle Group Home
Other providers in Chamblee, GA
- Denise A. Daisy
- Danwantry Medical & Imaging Services, LLC
- Kathleen Davis
- Megan Dawes
- DCN1, LLC
- Dekalb Community Service Board
- Dekalb Community Service Board
- Dekalb Community Service Board
- Dekalb County Board of Health
- Dekalb Family Medicine
All providers in Chamblee, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.