Provider Demographics
NPI:1578014940
Name:COMMUNITY PROGRAMS, INC.
Entity Type:Organization
Organization Name:COMMUNITY PROGRAMS, INC.
Other - Org Name:MERIDIAN HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HR/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-461-2910
Mailing Address - Street 1:1255 N OAKLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1545
Mailing Address - Country:US
Mailing Address - Phone:248-599-8999
Mailing Address - Fax:248-406-0129
Practice Address - Street 1:1435 N OAKLAND BLVD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1549
Practice Address - Country:US
Practice Address - Phone:248-599-8999
Practice Address - Fax:248-406-0129
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY PROGRAMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-20
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
MI324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health