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Clayton Mhddad
Adult Mental Health Clinic/Center in Forest Park, Georgia
NPI 1427204775

Clayton Mhddad is an Adult Mental Health Clinic/Center based in Jonesboro, GA and is specialized in Adult Mental Health. Clayton Mhddad practices in Forest Park, GA. The NPI Number for Clayton Mhddad is 1427204775 and holds a License No. (Georgia).

The current practice location address for Clayton Mhddad is 6278 Holiday Blvd, Forest Park, GA and can be reached out via phone at 770-478-2280 and via fax at 770-477-9772.

Location: 6278 Holiday Blvd, Forest Park, GA, 30236-3563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427204775
Provider Name
Clayton Mhddad
Credential
Provider Entity Type
Organization
Address
6278 Holiday Blvd, Forest Park, GA, 30236-3563
Phone Number
770-478-2280
Fax Number
770-477-9772
Provider Enumeration Date
08/18/2008
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000606922AN 05 GA
institution
Provider Business Practice Location Address Details
Address
6278 Holiday Blvd
City
Forest Park
State
Georgia
Zip
30297-4262
Phone Number
770-478-2280
Fax Number
770-477-9772
person
Provider Business Mailing Address Details
Address
6278 Holiday Blvd
City
Forest Park
State
Georgia
Zip
30297-4262
Phone Number
770-478-2280
Fax Number
770-477-9772
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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