NPI 1023169703

Community Care Associates

Organisation Exclusive Provider Organization Detroit, MI

Practice location

Address: 300 River Place Dr Suite 2500, Detroit, MI 48207-4457
Phone: (313) 999-7603
Fax: (313) 656-6008

Authorised official

Name: Kathleen D Pelak-Reggio
Title: President
Phone: (313) 999-7603

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Michigan →

Registry record

NPI: 1023169703
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.