Clayton Center Holly Tree 101 – Mental Illness Community Based Residential Treatment Facility, NPI 1760999643

Clayton Center Holly Tree 101 is a healthcare provider. based in Riverdale, Georgia. specializing in Mental Illness Community Based Residential Treatment Facility. The NPI Number for Clayton Center Holly Tree 101 is 1760999643

Main info

Organization
Name
Clayton Center Holly Tree 101
NPI
1760999643
Phone
(770) 997-8137
Address
5930 HIGHWAY 85 UNIT 104
Authorized Official
TIFFANY TOM-JOHNSON COO
Enumeration Date
2 January 2018
Last Update Date
16 June 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness80
Years active:8State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Clayton Center Holly Tree 101

  • 5930 HIGHWAY 85 UNIT 104

    RIVERDALE, GA 302741502

    Phone: (770) 997-8137

    Type: Location

  • 5930 Highway 85 Unit 101

    Riverdale, GA 302741502

    Phone: (770) 997-8137

    Type: Location

  • 157, Smith Street, Jarrard, Jonesboro, Clayton County, Georgia, 30236, United States

    JONESBORO, GA 302363546

    Phone: (770) 473-2649

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30274)

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Reviews

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Frequently asked questions

How do payers reference Clayton Center Holly Tree 101?
For Clayton Center Holly Tree 101, use NPI 1760999643 as the unique 10-digit identifier.
Would Clayton Center Holly Tree 101 appear as active to a payer?
You can treat Clayton Center Holly Tree 101 as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Clayton Center Holly Tree 101's focus?
For Clayton Center Holly Tree 101, the primary taxonomy reads as Mental Illness Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Where in Georgia is Clayton Center Holly Tree 101 registered?
Use Riverdale, Georgia as the headline location for Clayton Center Holly Tree 101 here.
Can I trust this NPI listing for Clayton Center Holly Tree 101?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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