Ennis Center For Children
Community/Behavioral Health in Flint, MI. Organization (NPI-2).
NPI number1083997019
StatusActive
Last updated in NPPESSep 26, 2011
Details
- NPI
- 1083997019
- Entity type
- Organization (NPI-2)
- Legal business name
- Ennis Center For Children
- Organization subpart
- No
- Enumeration date
- Sep 26, 2011
- Last updated
- Sep 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6801079960 | MI | Yes |
Practice location
129 E 3rd StFlint, MI 48502-1728
Phone 810-233-4031 · Fax 810-234-0817
Mailing address
129 E 3rd StFlint, MI 48502-1728
Phone 810-233-4031 · Fax 810-234-0817
Authorized official
Gale Frase
Vp Finance/Hr
8102334031
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