| NPI | 1669243564 |
|---|---|
| Doing Business As | THE CHAMPION THERAPY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | DAISY E BROWN Owner 859-359-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |