DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC NPI 1447271788

NPI Information

DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC is a mental health (including community mental health center) clinic center in Detroit, MI. DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH, INC NPI is 1447271788. The provider is registered as an organization entity type.
The provider Is Doing Business As Detroit Central City Integrated Health.

The provider's business location address is:

10 PETERBORO
DETROIT, MI
ZIP 48201-722
Phone: (313) 831-3160
Fax: (313) 831-2604

The provider's authorized official is Ryan Lepper .
The authorized official title is President, Ceo and has the following contact phone number (313) 833-6275.

The CLIA number assigned to this NPI record is 23D2074523 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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