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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