Organization
CHAMPION RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYNN BOBERG SUDC (EXECUTIVE DIRECTOR)
(801) 661-7007
Entity
Organization
Contact information
Practice address
222 W 540 N, OREM, UT 84057-6631
(801) 661-7007
Mailing address
222 W 540 N, OREM, UT 84057-6631
(801) 661-7007
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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