NPI | 1336995133 |
---|---|
Doing Business As | CENTRAL CITY HEALTH (THIRD STREET) |
Entity Type | Organization |
Authorized Contact | VALENCIA A FRANK Revenue Cycle Manager 313-635-4213 |
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 | 2024-04-24 |
Last Update Date | 2024-09-05 |