Organization
A CHAMPION HOME & COMMUNITY SERVICES
Active
Other names
A Champion Home & Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
TRACE HENDERSOM (PROGRAM MANAGER)
(469) 463-3054
Entity
Organization
Contact information
Practice address
119 EXECUTIVE WAY STE 303, DESOTO, TX 75115-2341
(469) 463-3054
(214) 306-6035
Mailing address
119 EXECUTIVE WAY STE 303, DESOTO, TX 75115-2341
(469) 463-3054
(214) 306-6035
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
TX
Other
Enumeration date
03/05/2012
Last updated
03/19/2024
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