NPI | 1033935838 |
---|---|
Doing Business As | CENTRAL CITY HEALTH (ABBOTT STREET) |
Entity Type | Organization |
Authorized Contact | MICHELLE RILEY Credentialing Specialist 313-221-8595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-11-26 |
Last Update Date | 2024-11-26 |