Provider Demographics
NPI:1336594068
Name:CITI HEALTH GROUP INC.
Entity Type:Organization
Organization Name:CITI HEALTH GROUP INC.
Other - Org Name:CITI HEALTH GROUP INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUSTINA
Authorized Official - Middle Name:CHIKA
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:832-339-2640
Mailing Address - Street 1:2519 CRISP APPLE WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-1479
Mailing Address - Country:US
Mailing Address - Phone:346-932-7423
Mailing Address - Fax:713-393-7720
Practice Address - Street 1:8449 W BELLFORT ST STE 130330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2245
Practice Address - Country:US
Practice Address - Phone:713-393-7719
Practice Address - Fax:713-393-7720
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITI HEALTH GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-02
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services