Organization · Type 2 NPI

Dekalb Community Service Board

Community/Behavioral Health Agency · Decatur, GA

NPI number 1922142108 Active

Practice location

450 Winn Way
Decatur, GA 30030-1715

Fax (404) 294-0793

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

34 other providers at this address

Other community/behavioral health agency providers in Decatur

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NPI record

NPI: 1922142108
Entity type: Organization (Type 2)
Issued: Feb 19, 2007
Last updated: Apr 21, 2020
Status: Active
Subpart: Yes of Dekalb Community Service Board

Other names

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Dekalb Regional Crisis Center · other name
Dekalb Regional Crisis Center · other name

Authorized official

Fabio Bruno Van Der Merwe
COO
(404) 294-3836

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922142108

Dekalb Community Service Board's National Provider Identifier is 1922142108, issued on Feb 19, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Decatur, GA. The record was last updated on Apr 21, 2020.