Organization
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC.
Active
Other names
Central City Health- Dental 3rd Street
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RILEY RHIT (CREDENTIALING SPECIALIST)
(313) 221-8595
Entity
Organization
Contact information
Practice address
1240 3RD ST, DETROIT, MI 48226-2505
(313) 831-3160
Mailing address
1240 3RD ST, DETROIT, MI 48226-2505
(313) 831-3160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/12/2024
Last updated
03/19/2025
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