Detroit Community Health Connection, INC

NPI #1053574236 in Detroit, Michigan

Provider Information

NPI Number
1053574236
Entity Type
Organization
Organization Name
Detroit Community Health Connection, INC
Subpart
Yes (part of a larger organization)
Parent Organization
DETROIT COMMUNITY HEALTH CONNECTION, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 8, 2008
Last Updated
Apr 26, 2013

Practice Location

Address
6550 W WARREN AVE
ZIP Code
48210-1134
Phone
(313) 897-7700

Authorized Official

Name
MR. MAHIPAL RAO KAKARALA
Title
SR VP/CFO
Phone
(313) 821-2591

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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