| Family & Children Services | |
|
1608 Lake St Kalamazoo MI 49001-3170 | |
| (269) 344-0202 | |
| (269) 344-0285 |
| Full Name | Family & Children Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1608 Lake St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Diane Marquess (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2693440202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Children Services 1608 Lake St Kalamazoo MI 49001-3170 Ph: (269) 344-0202 | Family & Children Services 1608 Lake St Kalamazoo MI 49001-3170 Ph: (269) 344-0202 |
| NPI Number | 1760448823 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 12/02/2021 |
| Certification Date | 12/02/2021 |
| Medicare PECOS PAC ID | 5698719805 |
|---|---|
| Medicare Enrollment ID | O20050617000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760448823 | NPI | - | NPPES |
| 6130497 | Medicaid | MI |
| Provider Name | Kathleen Ann Pyatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457876708 PECOS PAC ID: 7517371909 Enrollment ID: I20210126001922 |
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