Organization · Type 2 NPI
Champagne Incorporated
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lindale, TX
Practice location
405 N. Main Street
Lindale, TX 75771
Fax (903) 882-1627
Mailing address
PO Box 1749
Lindale, TX 75771-1749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 117423 (TX) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Lindale
About NPI 1992873715
Champagne Incorporated's National Provider Identifier is 1992873715, issued on Dec 1, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lindale, TX. The record was last updated on Aug 22, 2020.