Ga Champion Project Inc

NPI 1043544968 - Counselor - 101Y00000X

NPI Details
NPI 1043544968
Enumeration Date 09/24/2009
Last Updated 09/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHAEL MICHAEL
Position PROGRAM ADMINISTRATOR
Phone (770) 210-8484
Fax
Practice Location
7651 TARA BLVD
SUITE 2000
JONESBORO GA, 30236-7322, US
Phone (770) 210-8484
Fax
Business Location
7651 TARA BLVD
SUITE 2000
JONESBORO GA, 30236-7322, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Georgia
License Number 0000000000
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According to our database, Ga Champion Project Inc NPI is 1043544968, taxonomy code is 101Y00000X and license number is 0000000000, license state is located at Georgia. Ga Champion Project Inc physically located at 7651 Tara Blvd, Jonesboro GA, 30236-7322. NPI Number 1033115704 has the healthcare provider type.

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1043544968 NPI number is provided on an as is basis without warranty of any kind. 1043544968 is maintained by the National Plan & Provider Enumeration System. The contents of Ga Champion Project Inc are for informational purposes only.