Organization
COMMUNITY HEALTH AWARENESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA FLUKER LMSW (DIRECTOR OF CLINICAL SERVICES)
(313) 963-3434
Entity
Organization
Contact information
Practice address
1300 W FORT ST, DETROIT, MI 48226-3007
(313) 963-3434
(313) 963-1832
Mailing address
1300 W FORT ST, DETROIT, MI 48226-3007
(313) 963-3434
(313) 963-1832
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801071630
MI
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
10/11/2013
Last updated
11/21/2014
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