Active NPI
Child & Adolescent Services, Inc.
- Community/Behavioral Health Agency
- Decatur, GA
National Provider Identifier
1659513356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHILD & ADOLESCENT SERVICES, INC.
- Practice address
- 4151 Memorial Dr
Suite 107-C
Decatur, GA 30032-1504 - Phone
- (404) 454-5728
- NPI assigned
- Mar 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corliss Armstead
- Title
- Ceo
- Phone
- (404) 454-5728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | GA | Primary |
Addresses
Primary practice location
4151 Memorial Dr
Suite 107-C
Decatur, GA 30032-1504
Mailing address
4225 Kings Cswy
Ellenwood, GA 30294-1494
Phone (404) 454-5728
National Provider Directory
National Provider DirectoryLocations
4151 Memorial Dr
Ste 107C
Decatur, GA 30032
Phone (404) 454-5728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238112000000",
"number": "1659513356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 KINGS CSWY",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941494",
"telephone_number": "404-454-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 MEMORIAL DR",
"address_2": "SUITE 107-C",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321504",
"telephone_number": "404-454-5728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD & ADOLESCENT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A",
"authorized_official_last_name": "ARMSTEAD",
"authorized_official_first_name": "CORLISS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-454-5728"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.