| 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 |