Organization
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC.
Active
Other names
Central City Health (COTS)
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RILEY RHIT (CREDENTIALING SPECIALIST)
(313) 221-8595
Entity
Organization
Contact information
Practice address
13025 E. JEFFERSON AVENUE, DETROIT, MI 48215
(313) 831-3160
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
07/12/2024
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