Central Care Management Organization

NPI #1790373579 in Detroit, Michigan

Provider Information

NPI Number: 1790373579
Entity Type: Organization
Organization Name: Central Care Management Organization
Primary Specialty: Prevention Professional
Enumeration Date: Jan 6, 2021
Last Updated: Jan 6, 2021

Practice Location

Address: 3031 W GRAND BLVD STE 370
City: Detroit
State: Michigan
ZIP Code: 48202-3008
Phone: (313) 875-2092

Authorized Official

Name: MR. REGINALD CHARLES TERRY SR., MA, LPC
Title: PREVENTION DIRECTOR
Phone: (313) 875-2092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Prevention Professional	405300000X	Primary

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