Organization
CHAMPIONS INTEGRATED BEHAVIORAL HEALTH LLC
Active
Organization
CHAMPIONS INTEGRATED BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARVARES JERMAINE DOWNING (OWNER)
(863) 242-3621
Entity
Organization
Contact information
Practice address
1216 TEMPLE CIR, HAINES CITY, FL 33844-6157
(863) 242-3621
Mailing address
PO BOX 332, HAINES CITY, FL 33845-0332
(863) 242-3621
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
02/08/2018
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