Organization
CHAMPION FIT WELLNESS
Active
Other names
Champion Fit Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE PORTER DOTSON LCSW (PROGRAM COORDINATOR)
(713) 467-7600
Entity
Organization
Contact information
Practice address
3617 SALEM RD, COVINGTON, GA 30016-4552
(678) 212-0496
(678) 212-0219
Mailing address
10661 HADDINGTON DR, SUITE 100, HOUSTON, TX 77043-3287
(713) 467-7600
(713) 467-7604
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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