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Organization
CHAMPION LEARNING CENTER LLC
Active
Organization
CHAMPION LEARNING CENTER LLC
Active
Other names
Champion Autism Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEEQO ABI CDA (OWNER)
(612) 267-6293
Entity
Organization
Contact information
Practice address
3355 HIAWATHA AVE S, STE 160, MINNEAPOLIS, MN 55406-2444
(612) 263-6293
Mailing address
3355 HIAWATHA AVE S, STE 160, MINNEAPOLIS, MN 55406-2444
(612) 263-6293
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
11/16/2023
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