Organization · Type 2 NPI
Clayton Mhddad
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Morrow, GA
Practice location
5800 Lillian Ln
Morrow, GA 30260-3965
Mailing address
112 Broad St
Jonesboro, GA 30236-3563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1942498647
Clayton Mhddad's National Provider Identifier is 1942498647, issued on Oct 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Morrow, GA. The record was last updated on Mar 5, 2008.