Organization
ENNIS CENTER FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE FRASE (VP FINANCE/HR)
(810) 233-4031
Entity
Organization
Contact information
Practice address
129 E 3RD ST, FLINT, MI 48502-1728
(810) 233-4031
(810) 234-0817
Mailing address
129 E 3RD ST, FLINT, MI 48502-1728
(810) 233-4031
(810) 234-0817
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801079960
MI
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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