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Organization
GA CHAMPION PROJECT INC
Active
Organization
GA CHAMPION PROJECT INC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WINFREE (PROGRAM ADMINISTRATOR)
(770) 413-1690
Entity
Organization
Contact information
Practice address
7651 TARA BLVD, SUITE 2000, JONESBORO, GA 30236-7322
(770) 210-8484
Mailing address
7651 TARA BLVD, SUITE 2000, JONESBORO, GA 30236-7322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000000000
GA
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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