Organization · Type 2 NPI

Detroit Central City Community Mental Health Inc.

Federally Qualified Health Center (FQHC) · Detroit, MI

NPI number 1285043406 Active

Practice location

10 Peterboro St
Detroit, MI 48201-2722

Call (313) 831-3160 Map

Fax (313) 833-2604

Other practice locations

14751 Mansfield St, Detroit, MI 48227-1801 · (313) 831-3160
130 E Grand Blvd, Detroit, MI 48207-3713 · (313) 831-3160
8333 Townsend St, Detroit, MI 48213-2331 · (313) 831-3160
2700 Martin Luther King Jr Blvd Ste 11401, Detroit, MI 48208-2576 · (313) 831-3160
4777 E Outer Dr, Detroit, MI 48234-3241 · (313) 831-3160
1240 3rd St, Detroit, MI 48226-2505 · (313) 831-3160

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	702008 (MI)
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

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NPI record

NPI: 1285043406
Entity type: Organization (Type 2)
Issued: Aug 13, 2014
Last updated: Jul 11, 2024
Status: Active

Other names

<unavail>
Central City Health · doing business as
Central City Integrated Health · doing business as

Authorized official

Michelle Riley
Credentialing Specialist
(313) 221-8595

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285043406

Detroit Central City Community Mental Health Inc.'s National Provider Identifier is 1285043406, issued on Aug 13, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 11, 2024.