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CH05677B COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS) (Terminated)
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Main Details
Name
COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004518
340B ID
CH05677B
Grant Number
H80CS00724
Additional Details
Current Program Status
Terminated
Registration Date
3/7/2006
Participating Start Date
4/1/2006
Participating Approval Date
3/8/2006
Last Recertification Date
2/12/2016
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
RICARDO J. GUZMAN, CEO
(313) 849-3920 Ext: 5016
Primary Contact
Community Health and Social Services Center
Felix Valbuena Jr., CEO
(313) 849-3920 Ext: 5016
Addresses
Street Address
7436 WOODWARD AVENUE
DETROIT, MI 48202
Billing Address
COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)
5635 W. FORT STREET
DETROIT, MI 48209-3154
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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