Organization
CHAMPIONS FOR LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE FRINK (OWNER)
(919) 521-7274
Entity
Organization
Contact information
Practice address
7402 LAKE RIDGE PKWY APT 1119, GRAND PRAIRIE, TX 75054-0340
(919) 521-7274
Mailing address
7402 LAKE RIDGE PKWY APT 1119, GRAND PRAIRIE, TX 75054-0340
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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