| Ennis Center For Children, Inc | |
|
91 S Telegraph Rd Pontiac MI 48341-1580 | |
| (248) 334-2715 | |
| Not Available |
| Full Name | Ennis Center For Children, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 91 S Telegraph Rd, Pontiac, Michigan |
| Authorized Official Name and Position | Linton T. Matthews (SOCIAL WORKER) |
| Authorized Official Contact | 3132204760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennis Center For Children, Inc 8752 W Outer Dr Detroit MI 48219-3589 Ph: (313) 220-4760 | Ennis Center For Children, Inc 91 S Telegraph Rd Pontiac MI 48341-1580 Ph: (248) 334-2715 |
| NPI Number | 1104244953 |
|---|---|
| Provider Enumeration Date | 03/30/2014 |
| Last Update Date | 03/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104244953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801091820 (Michigan) | Primary |
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