Whalio Doctors

NPI 1992873715

Champagne Incorporated

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

Practice location

Address
405 N. Main Street, Lindale, TX 75771
Phone
(903) 882-8337
Fax
(903) 882-1627
Mailing address
PO Box 1749, Lindale, TX 75771-1749

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 117423 (TX)

Registry record

NPI
1992873715
Entity type
Organization
NPI issued
1 Dec 2006
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.