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CLAYTON CENTER HOLLY TREE 101
NPI 1760999643
Community Based Residential Treatment Facility, Mental Illness in Riverdale, GA

Active since January 02, 2018
5930 HIGHWAY 85 UNIT 104, RIVERDALE, GA 30274(770) 997-8137 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Clayton Center Holly Tree 101 NPPES

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

CLAYTON CENTER HOLLY TREE 101 (NPI 1760999643) is a healthcare organization registered as a community based residential treatment facility, mental illness in Riverdale, Georgia and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Riverdale and lists Tiffany Tom-johnson, Coo, as its authorized official.

NPPES Registry Identity

NPI1760999643
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCLAYTON CENTER
Location Address5930 HIGHWAY 85 UNIT 104Riverdale, GA 30274-1502
Mailing Address157 Smith StJonesboro, GA 30236-3546 · (770) 473-2649
Phone(770) 997-8137
Organization SubpartYesParent: Clayton Center Mhaddd
Authorized OfficialTiffany Tom-johnsonCoo · (770) 478-2280
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1760999643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
5930 HIGHWAY 85 UNIT 104, Riverdale, GA 30274
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Other Names 2

Doing Business AsClayton Center Holly Tree 101
Doing Business AsClayton Center Holly Tree 104

Secondary Practice Location 1

Location 15930 Highway 85 Unit 101Riverdale, GA 30274-1502 · Phone (770) 997-8137

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAYTON CENTER MHADDD
Community Based Residential Treatment Facility, Mental Illness
5930 HIGHWAY 85 UNIT 104
RIVERDALE, GA 30274
Clayton County (770) 997-8137

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 Center's NPI number?

The NPI number for Clayton Center is 1760999643. It was assigned to this organization in the NPPES registry on January 2, 2018. The provider is doing business as Clayton Center Holly Tree 101 and Clayton Center Holly Tree 104.

Where is Clayton Center located?

Clayton Center is located at 5930 Highway 85 Unit 104, Riverdale, GA 30274. The listed phone number is (770) 997-8137.

What is Clayton Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Clayton Center was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.