Clayton Center Community Service Board

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

RN092487 Issued in GA

Legal business name

CLAYTON CENTER COMMUNITY SERVICE BOARD

Practice address

853 Battlecreek Rd
Jonesboro, GA 30236-1919

Phone

(770) 478-1099

Fax

(770) 478-8722

NPI assigned

Dec 1, 2010

Last updated

Dec 1, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Juliette McGaha, RN

Title

Staff Nurse

Phone

(770) 478-1099

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1437451127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BATTLECREEK ROAD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "770-478-1099",
            "fax_number": "770-478-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BATTLECREEK RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361919",
            "telephone_number": "770-478-1099",
            "fax_number": "770-478-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON CENTER COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "MCGAHA",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "770-478-1099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "RN092487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Civilian Barber Surgeons
• Corion Atae Clark-Wright
• Barbara R. Clark, APRN FNP-BC
• Christine Melisa Clarke
• Hector George Clarke Jr., PHARM.D
• Clayton Center CSB
• Clayton Chiropractic Center
• Clayton Community Mental Health Substance Ab (Clayton CSB)
• Clayton Community Mental Health Substance Ab (Clayton CSB)
• Clayton Community Mental Health Substance Abuse Deve SVCS Board (Clayton Center CSB)

• Adult Mental Health Clinic/Center in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.