Organization
CHAMP SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAHL WEIS MSED (OWNER)
(917) 975-1968
Entity
Organization
Contact information
Practice address
176 ASHWORTH AVE, STATEN ISLAND, NY 10314-4900
(917) 975-1968
(718) 494-1806
Mailing address
176 ASHWORTH AVE, STATEN ISLAND, NY 10314-4900
(917) 975-1968
(718) 494-1806
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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