NPI | 1033855655 |
---|---|
Doing Business As | CHAMPIONZ KORNER |
Entity Type | Organization |
Authorized Contact | VALENCIA WILLIAMS Owner 708-665-5443 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-05-06 |
Last Update Date | 2022-07-27 |