Organization · Type 2 NPI
Clayton Mhddad
Mental Health Clinic/Center (Including Community Mental Health Center) · Forest Park, GA
NPI number
1629266473
Active
Practice location
4513 Ernest Dr, Apt. # 1 & 3
Forest Park, GA 30297-3566
Mailing address
157 Smith St
Jonesboro, GA 30236-3546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Forest Park
About NPI 1629266473
Clayton Mhddad's National Provider Identifier is 1629266473, issued on Oct 5, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Forest Park, GA. The record was last updated on Nov 15, 2011.