Detroit Central City Community Mental Health, INC

NPI #1033935838 in Detroit, Michigan

Provider Information

NPI Number: 1033935838
Entity Type: Organization
Organization Name: Detroit Central City Community Mental Health, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 26, 2024
Last Updated: Nov 26, 2024

Practice Location

Address: 613 ABBOTT ST
City: Detroit
State: Michigan
ZIP Code: 48226-1348
Phone: (313) 831-3160

Authorized Official

Name: MICHELLE RILEY
Title: CREDENTIALING SPECIALIST
Phone: (313) 221-8595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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