| Detroit Central City Community Mental Health, Inc. | |
|
10 Peterboro St Detroit MI 48201-2722 | |
| (313) 578-6123 | |
| Not Available |
| Full Name | Detroit Central City Community Mental Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10 Peterboro St, Detroit, Michigan |
| Authorized Official Name and Position | Kimberly Farrow (INTERIM PRESIDENT & CEO) |
| Authorized Official Contact | 3137331302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Central City Community Mental Health, Inc. 10 Peterboro St Detroit MI 48201-2722 Ph: (313) 831-3160 | Detroit Central City Community Mental Health, Inc. 10 Peterboro St Detroit MI 48201-2722 Ph: (313) 578-6123 |
| NPI Number | 1861813685 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861813685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
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