Champions Heart Oasis LLC
NPI #1265227789 in Bloomington, Illinois
Provider Information
- NPI Number
- 1265227789
- Entity Type
- Organization
- Organization Name
- Champions Heart Oasis LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 14, 2025
- Last Updated
- Apr 14, 2025
Practice Location
- Address
- 207 W JEFFERSON ST STE 311
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3969
- Phone
- (217) 828-0962
Authorized Official
- Name
- MRS. OMOLOLA SOLAPE LAWAL
- Title
- MANAGER
- Phone
- (217) 828-0962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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