Organization
COMMUNITY CARE SERVICES
Active
Organization
COMMUNITY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND KYLE BAYNE III MED. (MENTAL HEALTH THERAPIST III)
(313) 382-7861
Entity
Organization
Contact information
Practice address
1736 FORT ST, LINCOLN PARK, MI 48146-1904
(313) 382-7861
Mailing address
28541 SPRUCE DR, FLAT ROCK, MI 48134-9772
(734) 782-4453
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/30/2011
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