Organization
CHAMPION HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LOWE (CONTROLLER)
(919) 500-3464
Entity
Organization
Contact information
Practice address
301 MCCULLOUGH DR, SUITE 418, CHARLOTTE, NC 28262-3310
(919) 500-3464
Mailing address
4428 LOUISBURG RD STE 105, RALEIGH, NC 27616-4302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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