| NPI | 1942920772 |
|---|---|
| Doing Business As | CHAMPION AUTISM THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | DEEQO ABI Owner 612-267-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-11-16 |