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Organization

DETROIT HEALTH CARE FOR THE HOMELESS

Active
Other names
Other FQHC PPS Services
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH W FERGUSON MHA, FACHE (EXECUTIVE DIRECTOR)
(313) 416-6200
Entity
Organization

Contact information

Practice address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 835-5990
(313) 221-8217
Mailing address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 835-5990
(313) 221-8217

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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