Champion Supports & Community Services, INC

NPI #1467784017 in Pikeville, Kentucky

Provider Information

NPI Number: 1467784017
Entity Type: Organization
Organization Name: Champion Supports & Community Services, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 8, 2010
Last Updated: Feb 8, 2010

Practice Location

Address: 3409 N MAYO TRL
City: Pikeville
State: Kentucky
ZIP Code: 41501-3268
Phone: (606) 432-8666

Authorized Official

Name: MRS. TONYA NEWSOME GOBLE
Title: PRESIDENT AND EXECUTIVE DIRECTOR
Phone: (606) 432-8666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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