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CHC26571-00 DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC (Terminated)
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Main Details
Name
DETROIT CENTRAL CITY COMMUNITY MENTAL HEALTH INC
Subdivision Name
Detroit Central City Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013387
340B ID
CHC26571-00
Grant Number
H80CS26571
Additional Details
Current Program Status
Terminated
Registration Date
4/7/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/17/2014
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2018
Failure to recertify
Contacts
Authorizing Official
Ryan Lepper, President and CEO
(313) 831-3160
Primary Contact
Melissa DaSilva, CInO
(313) 833-6275
Addresses
Street Address
3427 Woodward Ave.
Detroit, MI 48201-2725
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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