| Champion Families Ministries Llc | |
|
1129 Rush St Kissimmee FL 34747-4876 | |
| (936) 900-8400 | |
| Not Available |
| Full Name | Champion Families Ministries Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1129 Rush St, Kissimmee, Florida |
| Authorized Official Name and Position | Casey Glen Horne (OWNER) |
| Authorized Official Contact | 9369008400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Families Ministries Llc 1129 Rush St Kissimmee FL 34747-4876 Ph: (936) 900-8400 | Champion Families Ministries Llc 1129 Rush St Kissimmee FL 34747-4876 Ph: (936) 900-8400 |
| NPI Number | 1891425252 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891425252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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