| NPI | 1730535808 |
|---|---|
| Other Name | CENTRAL CITY HEALTH-DENTAL PETERBORO |
| Doing Business As | CENTRAL CITY INTEGRATED HEALTH |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FARROW Interim President & CEO 313-733-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2025-03-19 |