Citadel Community Development Corporation

NPI #1134520562 in Colton, California

Provider Information

NPI Number: 1134520562
Entity Type: Organization
Organization Name: Citadel Community Development Corporation
Primary Specialty: Case Management
Enumeration Date: Sep 4, 2014
Last Updated: Apr 21, 2022

Practice Location

Address: 937 VIA LATA
Address 2: SUITE 500
City: Colton
State: California
ZIP Code: 92324-3958
Phone: (909) 992-0929

Authorized Official

Name: DONISE JACKSON
Title: CHAIRMAN OF THE BOARD
Phone: (909) 992-0929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Case Management	251B00000X	Primary

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