Provider Demographics
NPI:1962821645
Name:CHAMPIONS BEHAVIORAL HEALTH CARE
Entity Type:Organization
Organization Name:CHAMPIONS BEHAVIORAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESPY-CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-917-2227
Mailing Address - Street 1:833 ASPEN PEAK LOOP UNIT 524
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-4989
Mailing Address - Country:US
Mailing Address - Phone:702-917-2227
Mailing Address - Fax:
Practice Address - Street 1:833 ASPEN PEAK LOOP #524
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011
Practice Address - Country:US
Practice Address - Phone:702-917-2227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty