Provider Demographics
NPI:1154169530
Name:CITY HOUSE INC
Entity type:Organization
Organization Name:CITY HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-299-8521
Mailing Address - Street 1:830 CENTRAL PKWY E STE 350
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5582
Mailing Address - Country:US
Mailing Address - Phone:214-299-8521
Mailing Address - Fax:
Practice Address - Street 1:830 CENTRAL PKWY E STE 350
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5582
Practice Address - Country:US
Practice Address - Phone:214-299-8521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management