| NPI | 1609617901 |
|---|---|
| Doing Business As | CENTRAL CITY HEALTH (COTS) |
| Entity Type | Organization |
| Authorized Contact | MICHELLE RILEY Credentialing Specialist 313-221-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-07-12 |