Organization · Type 2 NPI

Clayton Mhddad

Mental Health Clinic/Center (Including Community Mental Health Center) · Jonesboro, GA

NPI number 1639358906 Active

Practice location

1585 Pintail Rd
Jonesboro, GA 30238-6641

Mailing address

112 Broad St
Jonesboro, GA 30236-3563

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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About NPI 1639358906

Clayton Mhddad's National Provider Identifier is 1639358906, issued on Nov 2, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jonesboro, GA. The record was last updated on Mar 5, 2008.