| The Champion Center For Behavioral Therapy Inc. | |
| 
					17500 Sycamore Ave Country Club Hills IL 60478-4884  | |
| (312) 536-7779 | |
| Not Available | 
| Full Name | The Champion Center For Behavioral Therapy Inc. | 
|---|---|
| Speciality | Behavior Analyst | 
| Location | 17500 Sycamore Ave, Country Club Hills, Illinois | 
| Authorized Official Name and Position | Latrice Harrell (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 3125367779 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Champion Center For Behavioral Therapy Inc. 17500 Sycamore Ave Country Club Hills IL 60478-4884 Ph: (312) 536-7779  | The Champion Center For Behavioral Therapy Inc. 17500 Sycamore Ave Country Club Hills IL 60478-4884 Ph: (312) 536-7779  | 
| NPI Number | 1265890784 | 
|---|---|
| Provider Enumeration Date | 01/29/2016 | 
| Last Update Date | 01/29/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265890784 | NPI | - | NPPES | 
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