Healthcare Provider Details

I. General information

NPI: 1972907269
Provider Name (Legal Business Name): CAREFIRST COMMUNITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8097 DECATUR ST
DETROIT MI
48228-2721
US

IV. Provider business mailing address

8097 DECATUR ST
DETROIT MI
48228-2721
US

V. Phone/Fax

Practice location:
  • Phone: 313-846-5020
  • Fax: 313-846-3468
Mailing address:
  • Phone: 313-846-5020
  • Fax: 313-846-3468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateMI

VIII. Authorized Official

Name: MRS. DAISY BARLOW-SMITH
Title or Position: CEO
Credential: MSW, LMSW, ACSW
Phone: 313-846-5020