Organization
CHAMPION LEARNING CENTER LLC
Active
Other names
Champion Autism Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEEQO ABI CDA (OWNER)
(612) 267-6293
Entity
Organization
Contact information
Practice address
3355 HIAWATHA AVE S, STE 160, MINNEAPOLIS, MN 55406-2444
(612) 263-6293
Mailing address
3355 HIAWATHA AVE S, STE 160, MINNEAPOLIS, MN 55406-2444
(612) 263-6293
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
11/16/2023
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