Healthcare Provider Details

I. General information

NPI: 1679594832
Provider Name (Legal Business Name): CHILD AND FAMILY CHARITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4287 FIVE OAKS DR
LANSING MI
48911-4214
US

IV. Provider business mailing address

4287 FIVE OAKS DR
LANSING MI
48911-4214
US

V. Phone/Fax

Practice location:
  • Phone: 517-882-4000
  • Fax: 517-882-3506
Mailing address:
  • Phone: 517-882-4000
  • Fax: 517-882-3506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE THOMASMA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PH.D
Phone: 517-882-4000