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 |
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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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