Provider Demographics
NPI:1033318571
Name:CJRM, INC
Entity Type:Organization
Organization Name:CJRM, INC
Other - Org Name:AMERICAN AMISTAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANACHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-779-9444
Mailing Address - Street 1:8303 HILLCROFT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1013
Mailing Address - Country:US
Mailing Address - Phone:713-779-9444
Mailing Address - Fax:713-799-9444
Practice Address - Street 1:8303 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1013
Practice Address - Country:US
Practice Address - Phone:713-779-9444
Practice Address - Fax:713-799-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-14
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services