Organization
DETROIT COMMUNITY HEALTH CONNECTION, INC
Active
Other names
Dr. Peter Slaughter Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAHIPAL RAO KAKARALA (SR VP & CFO)
(313) 821-2591
Entity
Organization
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 347-2116
(313) 245-7009
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
01/04/2019
Last updated
01/04/2019
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