Provider Demographics
NPI:1528526688
Name:CITY HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:CITY HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHIKEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-775-7707
Mailing Address - Street 1:7826 EASTERN AVE NW STE 208C
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1333
Mailing Address - Country:US
Mailing Address - Phone:301-775-7707
Mailing Address - Fax:301-585-5206
Practice Address - Street 1:7826 EASTERN AVE NW STE 208C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1333
Practice Address - Country:US
Practice Address - Phone:301-775-7707
Practice Address - Fax:301-585-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health