Imani Community Center
NPI #1740650969 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1740650969
- Entity Type
- Organization
- Organization Name
- Imani Community Center
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Sep 30, 2015
Practice Location
- Address
- 207 POPLAR ST
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39339
- Phone
- (662) 803-1254
Authorized Official
- Name
- MS. ALLIE G NDIAYE I, ETC.
- Title
- REGISTERED NURSE
- Phone
- (662) 803-1254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
| Counselor - Mental Health — Mental Health |
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