Organization
CHAMPIONS REAL ALTERNATIVE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE WEISENHAUS CAADC (EXECUTIVE DIRECTOR)
(559) 583-9300
Entity
Organization
Contact information
Practice address
700 N IRWIN ST, HANFORD, CA 93230-3814
(559) 583-9300
Mailing address
700 N IRWIN ST, HANFORD, CA 93230-3814
(559) 583-9300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
160005AN
CA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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