Organization
CHAMPION LEARNING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EHIMWENMA ADEYIN MPA, EDS (DIRECTOR)
(908) 967-9690
Entity
Organization
Contact information
Practice address
19 MILL RD, IRVINGTON, NJ 07111-1009
(908) 967-9690
Mailing address
25 QUABECK AVE, HILLSIDE, NJ 07205-1007
(908) 967-9690
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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