| Detroit Central City Integrated Health | |
|
10 Peterboro Detroit MI 48201-2722 | |
| (313) 831-3160 | |
| (313) 831-2604 |
| Full Name | Detroit Central City Integrated Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 Peterboro, Detroit, Michigan |
| Authorized Official Name and Position | Kimberly Farrow (PRESIDENT, CEO) |
| Authorized Official Contact | 3138313160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Central City Integrated Health 10 Peterboro St Detroit MI 48201-2722 Ph: (313) 831-3160 | Detroit Central City Integrated Health 10 Peterboro Detroit MI 48201-2722 Ph: (313) 831-3160 |
| NPI Number | 1447271788 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447271788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
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