| NPI | 1487282273 |
|---|---|
| Doing Business As | CHAMPION HEALING CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN CAO/Treasurer 209-955-2322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2022-01-04 |