Organization
CHAMPIONS DEVELOPMENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE HARRIS (CEO)
(563) 949-1148
Entity
Organization
Contact information
Practice address
4620 E 53RD ST STE 200, DAVENPORT, IA 52807-3627
(563) 949-1148
Mailing address
4620 E 53RD ST STE 200, DAVENPORT, IA 52807-3627
(563) 949-1148
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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