Champions Developmental Care

NPI #1588444335 in Davenport, Iowa

Provider Information

NPI Number: 1588444335
Entity Type: Organization
Organization Name: Champions Developmental Care
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 29, 2023
Last Updated: Sep 29, 2023

Practice Location

Address: 4620 E 53RD ST STE 200
City: Davenport
State: Iowa
ZIP Code: 52807-3627
Phone: (563) 949-1148

Authorized Official

Name: DWAYNE HARRIS
Title: CEO
Phone: (563) 949-1148

Specialties & Taxonomy Codes

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

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