NPI 1003377086
Chris 180, INC.
Practice location
- Address
- 3700 Martin Luther King Dr SW, Atlanta, GA 30331-3674
- Phone
- (404) 486-9034
- Fax
- (404) 835-9350
- Mailing address
- 1017 Fayetteville Rd SE, Atlanta, GA 30316-2932
Authorised official
- Name
- Dan James Bellor
- Title
- Clinic Adminsitrator
- Phone
- (404) 486-9034
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1003377086
- Entity type
- Organization
- NPI issued
- 30 Mar 2019
- Record last updated
- 11 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.