Provider Demographics
NPI:1679594832
Name:CHILD AND FAMILY CHARITIES
Entity Type:Organization
Organization Name:CHILD AND FAMILY CHARITIES
Other - Org Name:CHILD & FAMILY SERVICES, CAPITAL AREA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALABRESE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMSW, CADC
Authorized Official - Phone:517-882-4000
Mailing Address - Street 1:4287 FIVE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4214
Mailing Address - Country:US
Mailing Address - Phone:517-882-4000
Mailing Address - Fax:517-882-3506
Practice Address - Street 1:4287 FIVE OAKS DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4214
Practice Address - Country:US
Practice Address - Phone:517-882-4000
Practice Address - Fax:517-882-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIIG001406Medicare UPIN
MI033715Medicare UPIN
MI750910636Medicare UPIN
MI87726Medicare UPIN