Organization
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC.
Active
Organization
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC.
Active
Other names
Central City Health-Dental Peterboro, Central City Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY FARROW (INTERIM PRESIDENT & CEO)
(313) 733-1302
Entity
Organization
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 826-0567
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 752-0813
(313) 826-0567
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
05/09/2016
Last updated
03/19/2025
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