Champion Recovery LLC

NPI #1790386837 in Orem, Utah

Provider Information

NPI Number: 1790386837
Entity Type: Organization
Organization Name: Champion Recovery LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 222 W 540 N
City: Orem
State: Utah
ZIP Code: 84057-6631
Phone: (801) 661-7007

Authorized Official

Name: LAURA LYNN BOBERG, SUDC
Title: EXECUTIVE DIRECTOR
Phone: (801) 661-7007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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