Provider Demographics
NPI:1578849774
Name:SIDZIA GROUP, INC.
Entity Type:Organization
Organization Name:SIDZIA GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASERAH
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:ASADULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-660-1000
Mailing Address - Street 1:5959 WESTHEIMER RD
Mailing Address - Street 2:SUITE #114
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7622
Mailing Address - Country:US
Mailing Address - Phone:832-660-1000
Mailing Address - Fax:713-975-1499
Practice Address - Street 1:5959 WESTHEIMER RD
Practice Address - Street 2:SUITE #114
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7622
Practice Address - Country:US
Practice Address - Phone:832-660-1000
Practice Address - Fax:713-975-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities