Provider Demographics
NPI:1467672337
Name:GOD'S PROMISE CENTER, INC.
Entity Type:Organization
Organization Name:GOD'S PROMISE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:CATRICE
Authorized Official - Last Name:WATSON-GAITHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-851-8822
Mailing Address - Street 1:5021 REDAN RD
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-2708
Mailing Address - Country:US
Mailing Address - Phone:678-851-8822
Mailing Address - Fax:404-756-1490
Practice Address - Street 1:211 BELLA VISTA TER
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8663
Practice Address - Country:US
Practice Address - Phone:678-851-8822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-607-D251S00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility