CLAYTON CSB
NPI 1629266473
Clinic/Center - Mental Health (Including Community Mental Health Center) in Forest Park, GA

Active since October 05, 2007
4513 ERNEST DR, APT. # 1 & 3, FOREST PARK, GA 30297(404) 363-2063 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Csb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAYTON CSB (NPI 1629266473) is a healthcare organization registered as a mental health (including community mental health center) in Forest Park, Georgia and active in the NPI registry since October 2007. The organization lists Terry Cole, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629266473
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCLAYTON MHDDAD
Location Address4513 ERNEST DR, APT. # 1 & 3Forest Park, GA 30297-3566
Mailing Address157 Smith StJonesboro, GA 30236-3546 · (770) 478-2280 · Fax (770) 477-9772
Organization SubpartYes
Authorized OfficialTerry ColeExecutive Director · (770) 478-2280
Enumeration DateOctober 5, 2007
Last NPPES UpdateNovember 15, 2011
NPI 1629266473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4513 ERNEST DR, Forest Park, GA 30297

Other Names 1

Doing Business AsClayton Csb

Other Identifiers 2

Medicaid00604205LGA
Medicare PINGRP2322GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clayton Mhddad's NPI number?

The NPI number for Clayton Mhddad is 1629266473. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as Clayton Csb.

Where is Clayton Mhddad located?

Clayton Mhddad is located at 4513 Ernest Dr Apt. # 1 & 3, Forest Park, GA 30297. The listed phone number is (404) 363-2063.

What is Clayton Mhddad's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Clayton Mhddad was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.