Provider Demographics
NPI:1083081640
Name:CHAPPELL HILL BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:CHAPPELL HILL BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADETOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:EKIBOLAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-217-5277
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:CHAPPELL HILL
Mailing Address - State:TX
Mailing Address - Zip Code:77426-0045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2550 RYAN ST
Practice Address - Street 2:B
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5883
Practice Address - Country:US
Practice Address - Phone:281-217-5277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health