Organization
COMMUNITY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. KATHLEEN D PELAK-REGGIO (PRESIDENT)
(313) 999-7603
Entity
Organization
Contact information
Practice address
300 RIVER PLACE DR, SUITE 2500, DETROIT, MI 48207-4457
(313) 999-7603
(313) 656-6008
Mailing address
300 RIVER PLACE DR, SUITE 2500, DETROIT, MI 48207-4457
(313) 999-7603
(313) 656-6008
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
MI
Other
Enumeration date
01/16/2007
Last updated
07/21/2022
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