CHAMPION COMMUNITY PARTNERS, LLC

MASSAPEQUA PARK, NY
NPI1922989144
Entity TypeOrganization
Authorized ContactTRACEY WALLACE
VP Ops
631-696-4357
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-09-12
Last Update Date2025-09-12
Business Address
CHAMPION COMMUNITY PARTNERS, LLC
5100 SUNRISE HWY
MASSAPEQUA PARK, NY 11762-2935
Phone number: 631-696-4357
Mailing Address
CHAMPION COMMUNITY PARTNERS, LLC
1377 MOTOR PKWY STE 102
ISLANDIA, NY 11749-5249
Phone number: