Provider Demographics
NPI:1750809729
Name:CHAMPIONS FOR CHILDRENS MENTAL HEALTH INC
Entity type:Organization
Organization Name:CHAMPIONS FOR CHILDRENS MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-503-7198
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:DE
Mailing Address - Zip Code:19960-0005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1012 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6506
Practice Address - Country:US
Practice Address - Phone:302-503-7198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-30
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health