Organization
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC
Active
Other names
Central City Health (Abbott Street)
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RILEY (CREDENTIALING SPECIALIST)
(313) 221-8595
Entity
Organization
Contact information
Practice address
613 ABBOTT ST, DETROIT, MI 48226-1348
(313) 831-3160
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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