| NPI | 1093454498 |
|---|---|
| Doing Business As | THE CHAMPION THERAPIST CENTER L.L.C. |
| Entity Type | Organization |
| Authorized Contact | DAISY E BROWN Owner/Manager 859-359-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |