| NPI | 1679266126 |
|---|---|
| Doing Business As | CHAMPION WELLNESS SERVICE, INC. |
| Entity Type | Organization |
| Authorized Contact | SHNARIKA SIMONE POWELL Pmhnp 706-489-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2024-06-24 |