NPI | 1811562044 |
---|---|
Doing Business As | CENTRAL CITY HEALTH |
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 | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-05-20 |
Last Update Date | 2025-04-10 |