Community Care Services
NPI #1023146792 in Lincoln Park, Michigan
Provider Information
- NPI Number
- 1023146792
- Entity Type
- Organization
- Organization Name
- Community Care Services
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 2, 2007
- Last Updated
- Aug 30, 2011
Practice Location
- Address
- 1736 FORT ST
- City
- Lincoln Park
- State
- Michigan
- ZIP Code
- 48146-1904
- Phone
- (313) 382-7861
Authorized Official
- Name
- MR. RAYMOND KYLE BAYNE III, MED.
- Title
- MENTAL HEALTH THERAPIST III
- Phone
- (313) 382-7861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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