Organization · Type 2 NPI

Dekalb Community Service Board

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

NPI number 1982813309 Active

Practice location

3807 Clairmont Rd
Chamblee, GA 30341-4911

Call (770) 457-5867 Map

Mailing address

445 Winn Way
Decatur, GA 30030-1707

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	000692 (GA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

30 other providers at this address

NPI record

NPI: 1982813309
Entity type: Organization (Type 2)
Issued: May 22, 2007
Last updated: Apr 21, 2020
Status: Active

Other names

<unavail>
North Dekalb Mental Health Center · other name
North Dekalb Mental Health 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 1982813309

Dekalb Community Service Board's National Provider Identifier is 1982813309, issued on May 22, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chamblee, GA. The record was last updated on Apr 21, 2020.