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NPI Code Detail

MEDICARE: COMMUNITY PROGRAMS INC.

MEDICARE: COMMUNITY PROGRAMS INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2324500000XSubstance Abuse Rehabilitation Facility631281MI

General Provider Information

NPI Number : 1003247362
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY PROGRAMS INC.
Provider Business Mailing Address
First Line : 1255 N OAKLAND BLVD
Second Line :
City : WATERFORD
State : MI
Zip : 48327-1545
Country : US
Telephone Number : 248-599-8999
Fax Number : 248-406-0129
Provider Business Practice Location Address
First Line : 1255 N OAKLAND BLVD
Second Line :
City : WATERFORD
State : MI
Zip : 48327-1545
Country : US
Telephone Number : 248-599-8999
Fax Number : 248-406-0129
Authorized Official
Title or Position : CEO
Name : RICHARD PAIGE
Credential :
Telephone Number : 248-599-8999
Provider Enumeration Date : 12/11/2013
Last Update Date : 03/26/2020

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