Chris 180, INC.
Community/Behavioral Health in Atlanta, GA. Organization (NPI-2).
Details
- NPI
- 1205397247
- Entity type
- Organization (NPI-2)
- Legal business name
- Chris 180, INC.
- Organization subpart
- No
- Enumeration date
- Mar 30, 2019
- Last updated
- Mar 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- @promise Center (Doing Business As)
Practice location
740 Cameron M Alexander Blvd NwAtlanta, GA 30318-6812
Phone 404-486-9034 · Fax 404-835-9350
Mailing address
1017 Fayetteville Rd SeAtlanta, GA 30316-2932
Phone 404-486-9034 · Fax 404-835-9350
Authorized official
Dan James Bellor
Clinic Administrator
4044869034
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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