| NPI | 1770624074 |
|---|---|
| Doing Business As | CHAMP CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | CRISTIANE CALEFFI Billing Manager 808-258-7271 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: HI E06063) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-03-24 |