Organization
COMMUNITY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM P WALSH LMSW (EXECUTIVE DIRECTOR)
(313) 389-7525
Entity
Organization
Contact information
Practice address
26184 W OUTER DRIVE, LINCOLN PARK, MI 48146
(313) 389-7525
(313) 389-7515
Mailing address
26184 W OUTER DRIVE, LINCOLN PARK, MI 48146
(313) 389-7525
(313) 389-7515
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
820428
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
820521
MI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
820588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040397
VALUE OPTIONS
—
01
—
20709
BCBS
—
01
—
20710
BCBS
—
01
—
207711
BCBS
—
05
—
3119549
—
MI
01
—
6322
CAPE HEALTH PLAN
—
01
—
6842
MIDWEST HEALTH PLAN
—
01
—
6U4765
HEALTH ALLIANCE PLAN
—
01
—
P42560
BLUE CARE NETWORK
—
Enumeration date
03/10/2006
Last updated
09/11/2025
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