Citty Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

SS-343-07 Issued in VA

Legal business name

CITTY INC.

Practice address

177 Elsing Green Way
Highland Springs, VA 23075-2451

Phone

(804) 218-0935

NPI assigned

Jan 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Jermaine Jackson, M.ED.

Title

Cao/Program Director

Phone

(804) 218-0935

Specialties & licenses 1

Addresses

Other names 1

• Opportunity Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1184809287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 ELSING GREEN WAY",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230752451",
            "telephone_number": "804-218-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 ELSING GREEN WAY",
            "city": "HIGHLAND SPRINGS",
            "state": "VA",
            "postal_code": "230752451",
            "telephone_number": "804-218-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "CAO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-218-0935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "SS-343-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opportunity Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Highland Springs, VA
• Providers in Highland Springs, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.