Healthcare Provider Details

I. General information

NPI: 1760346936
Provider Name (Legal Business Name): COMMUNITY PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3500 FLUSHING RD STE 200
FLINT MI
48504-4247
US

IV. Provider business mailing address

1255 N OAKLAND BLVD
WATERFORD MI
48327-1545
US

V. Phone/Fax

Practice location:
  • Phone: 248-599-8999
  • Fax:
Mailing address:
  • Phone: 248-599-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: NICOLE POWELL
Title or Position: CREDENTIALING
Credential:
Phone: 248-461-2910