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Organization

DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC.

Active
Other names
Central City Health, Central City Integrated Health
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE RILEY (CREDENTIALING SPECIALIST)
(313) 221-8595
Entity
Organization

Contact information

Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 833-2604
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 826-0567

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
702008
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285043406
MI
Enumeration date
08/13/2014
Last updated
07/11/2024
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