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General NPI Number Information
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NPI Number | 1336594068
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Entity Type | Organization
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Legal Business Name | CITI HEALTH GROUP INC.
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 8449 W BELLFORT ST STE 130330
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City | HOUSTON
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State | TX
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Zip | 77071-2245
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Country | US
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Telephone | 713-393-7719
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Fax | 713-393-7720
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Provider Business Mailing Address
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Address Line | 2519 CRISP APPLE WAY
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City | FRESNO
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State | TX
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Zip | 77545-1479
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Country | US
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Telephone | 346-932-7423
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Fax | 713-393-7720
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Authorized Official
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Title or Position | CEO
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Name | MRS. JUSTINA CHIKA ORJI I
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Credential |
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Telephone | 832-339-2640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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