NPI | 1992401103 |
---|---|
Other Name | CHAMP LLC |
Entity Type | Organization |
Authorized Contact | ANNA SMITH Co Owner/ Provider 540-250-0611 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-01-31 |