Organization
CHAMPION HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZULU C NWANKWO (ADMINISTRATOR)
(919) 771-4517
Entity
Organization
Contact information
Practice address
2717 GROSS AVE, WAKE FOREST, NC 27587-4325
(919) 771-4517
Mailing address
4241 KNIGHTSBRIDGE WAY, RALEIGH, NC 27604-8441
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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