Organization
CITY CROWN PHP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA UZOAMAKA OKAFOR (CEO)
(832) 326-9028
Entity
Organization
Contact information
Practice address
2626 RAVEN FALLS LN, FRIENDSWOOD, TX 77546-6072
(832) 326-9028
(281) 992-2187
Mailing address
2626 RAVEN FALLS LN, FRIENDSWOOD, TX 77546-6072
(832) 326-9028
(281) 992-2187
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190878201
—
TX
Enumeration date
07/12/2011
Last updated
07/12/2011
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