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CHRIS 180 INC. NPI 1134257827


NPI Information

NPI: 1134257827
Provider Name: CHRIS 180, INC.

Former Legal Business Name: CHRIS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1017 FAYETTEVILLE ROAD
SUITE A
ATLANTA, GA
ZIP 30316
Phone: (404) 324-4190
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CHRIS 180, INC. is a community behavioral health in Atlanta, GA. The provider is 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. CHRIS 180, INC. NPI is 1134257827. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Chris.

The provider's business location address is:

1017 FAYETTEVILLE ROAD
SUITE A
ATLANTA, GA
ZIP 30316-936
Phone: (404) 324-4190
Fax: (404) 324-4191

The provider's authorized official is Dan James Bellor .
The authorized official title is Clinic Administrator and has the following contact phone number (404) 486-9034.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 3/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1640804505LMEDICAIDGEORGIA
2640804505EMEDICAIDGEORGIA
3640804505MMEDICAIDGEORGIA
4300023628AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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