Organization
DETROIT COMMUNITY HEALTH CONNECTION, INC
Active
Parent organization
DETROIT COMMUNITY HEALTH CONNECTION, INC.
Other names
Dr Feleta Wilson Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DETROIT COMMUNITY HEALTH CONNECTION, INC.
Authorized official
MR. MAHIPAL RAO KAKARALA (SR VP/CFO)
(313) 821-2591
Entity
Organization
Contact information
Practice address
6550 W WARREN AVE, DETROIT, MI 48210-1134
(313) 897-7700
(313) 897-5591
Mailing address
13901 E JEFFERSON AVE, DETROIT, MI 48215-2720
(313) 821-2591
(313) 822-4202
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
04/26/2013
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