Whalio Doctors

NPI 1013056431

Champagne House

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Lindale, TX

Practice location

Address
303 Mount Sylvan St, Lindale, TX 75771-6235
Phone
(903) 882-8337
Fax
(903) 882-1627
Mailing address
PO Box 1749, Lindale, TX 75771-1749

Authorised official

Name
Joy Champagne
Title
Owner
Phone
(903) 882-8337

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1013056431
Entity type
Organization
NPI issued
5 Feb 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.