NPI | 1275302606 |
---|---|
Doing Business As | CENTRAL CITY INTEGRATED HEALTH(MOBILE UNIT) |
Entity Type | Organization |
Authorized Contact | KIMBERLY FARROW CEO 313-769-2561 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2023-12-27 |
Last Update Date | 2024-07-11 |