Provider Demographics
NPI:1356142905
Name:CLAY BEHAVIORAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:CLAY BEHAVIORAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWATHWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-385-2135
Mailing Address - Street 1:41 KNIGHT BOXX RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-7305
Mailing Address - Country:US
Mailing Address - Phone:904-385-2135
Mailing Address - Fax:
Practice Address - Street 1:7412 STATE ROAD 21
Practice Address - Street 2:
Practice Address - City:KEYSTONE HEIGHTS
Practice Address - State:FL
Practice Address - Zip Code:32656-7866
Practice Address - Country:US
Practice Address - Phone:904-955-7631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health