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Organization
CHAMPION FIT WELLNESS
Active
Organization
CHAMPION FIT WELLNESS
Active
Other names
Champion Fit Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE PORTER DOTSON LCSW (PROGRAM COORDINATOR)
(713) 467-7600
Entity
Organization
Contact information
Practice address
3617 SALEM RD, COVINGTON, GA 30016-4552
(678) 212-0496
(678) 212-0219
Mailing address
10661 HADDINGTON DR, SUITE 100, HOUSTON, TX 77043-3287
(713) 467-7600
(713) 467-7604
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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