Active NPI
Community Care Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Lincoln Park, MI
National Provider Identifier
1609844976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 820428
- Legal business name
- COMMUNITY CARE SERVICES
- Practice address
- 26184 W Outer Drive
Lincoln Park, MI 48146 - Phone
- (313) 389-7525
- Fax
- (313) 389-7515
- NPI assigned
- Mar 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William P Walsh, LMSW
- Title
- Executive Director
- Phone
- (313) 389-7525
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 820588 | MI | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 820521 | MI | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 820428 | MI | Primary |
Addresses
Primary practice location
26184 W Outer Drive
Lincoln Park, MI 48146
Mailing address
26184 W Outer Drive
Lincoln Park, MI 48146
Phone (313) 389-7525
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6842 | Other | MIDWEST HEALTH PLAN | |
| 040397 | Other | VALUE OPTIONS | |
| 20710 | Other | BCBS | |
| 6322 | Other | CAPE HEALTH PLAN | |
| 6U4765 | Other | HEALTH ALLIANCE PLAN | |
| P42560 | Other | BLUE CARE NETWORK | |
| 20709 | Other | BCBS | |
| 207711 | Other | BCBS | |
| 3119549 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
416 Sumpter Rd
Ste B
Van Buren Township, MI 48111
Phone (734) 697-3777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1609844976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26184 W OUTER DRIVE",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "48146",
"telephone_number": "313-389-7525",
"fax_number": "313-389-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26184 W OUTER DRIVE",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "48146",
"telephone_number": "313-389-7525",
"fax_number": "313-389-7515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "313-389-7525",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MI",
"license": "820588",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MI",
"license": "820521",
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "MI",
"license": "820428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "6842",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "040397",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20710",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "6322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "6U4765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P42560",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "207711",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3119549",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.