Organization
CITY CENTER WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOORE CHUKWUEMEKA (PRESIDENT)
(713) 427-2555
Entity
Organization
Contact information
Practice address
6250 WESTPARK SUITE 132, HOUSTON, TX 77057
(713) 427-2555
Mailing address
6250 WESTPARK SUITE 132, HOUSTON, TX 77057
(713) 427-2555
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
TX
Enumeration date
08/14/2012
Last updated
08/14/2012
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