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Dekalb Community Service Board

Organization Active NPI Community/Behavioral Health Agency · Decatur, GA

NPI 1508994500 · NPPES record last updated Apr 21, 2020

Key facts

NPI
1508994500
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
DEKALB COMMUNITY SERVICE BOARD
Practice address
445 Winn Way
2ND Floor
Decatur, GA 30030-1707
Phone
(404) 508-7700
Fax
(404) 508-7733
NPI assigned
Mar 1, 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

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dekalb Community Serv (24 organizations share this tax ID)
Part of
Dekalb Community Serv

Locations

445 Winn Way
Fl 2
Decatur, GA 30030
Phone (404) 294-3836

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

445 Winn Way
2ND Floor
Decatur, GA 30030-1707

Mailing address

445 Winn Way FL 4
Decatur, GA 30030-1707
Phone (404) 508-7700

Other names

  • Winn Way Mental Health Center Other name

Other providers in Decatur, GA

All providers in Decatur, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.